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Procedure price report · Other OR therapeutic nervous system procedures

Skull base surgery to explore or free cranial nerves

CPT 61458the billing code this page is about

Bone is removed at the lower rear of the skull to examine the cranial nerves or relieve pressure on them.

Hospitals typically charge $5,003 cash for this outpatient procedure — the median across 156 hospitals that filed a usable cash price; the average of the middle 60% is $4,915. Most fall between $2,882 and $7,204 (20th–80th percentile).

Hospitals
156
States
35
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 156 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$1,591$3,055$5,003$6,446$16,681

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($1,591 vs $16,681).

How the prices are spread

$534 – $760: 5 hospitals$534$760 – $1,083: 3 hospitals$1,083 – $1,544: 0 hospitals$1,083$1,544 – $2,200: 12 hospitals$2,200 – $3,135: 14 hospitals$2,200$3,135 – $4,468: 31 hospitals$4,468 – $6,366: 37 hospitals$4,468$6,366 – $9,072: 24 hospitals$9,072 – $12,928: 5 hospitals$9,072$12,928 – $18,423: 14 hospitals$12,928median $5,003price bands are equal on a log scale
Hospitals per price band (145 of 156 — the bands cover the 5th to 95th percentile)
FromToHospitals
$534$7605
$760$1,0833
$1,083$1,5440
$1,544$2,20012
$2,200$3,13514
$3,135$4,46831
$4,468$6,36637
$6,366$9,07224
$9,072$12,9285
$12,928$18,42314

By state

The median cash price in each state, against the national median of $5,003.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 1 hospital filed a usable price — fewer than 10, so no figureWAIdaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 2 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: 9 hospitals filed a usable price — fewer than 10, so no figureILWisconsin: 5 hospitals filed a usable price — fewer than 10, so no figureWIMichigan: median $5,538 across 23 hospitalsMI$5,538New York: 6 hospitals filed a usable price — fewer than 10, so no figureNYMassachusetts: no hospital in the corpus filed a usable priceMAOregon: 5 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: 4 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: no hospital in the corpus filed a usable priceINOhio: 9 hospitals filed a usable price — fewer than 10, so no figureOHPennsylvania: median $534 across 15 hospitalsPA$534New Jersey: median $5,110 across 12 hospitalsNJ$5,110Connecticut: no hospital in the corpus filed a usable priceCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: 5 hospitals filed a usable price — fewer than 10, so no figureCAUtah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 3 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 3 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 1 hospital filed a usable price — fewer than 10, so no figureWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 1 hospital filed a usable price — fewer than 10, so no figureAZNew Mexico: no hospital in the corpus filed a usable priceNMKansas: 3 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 1 hospital filed a usable price — fewer than 10, so no figureTNNorth Carolina: no hospital in the corpus filed a usable priceNCSouth Carolina: no hospital in the corpus filed a usable priceSCOklahoma: median $4,215 across 10 hospitalsOK$4,215Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: no hospital in the corpus filed a usable priceGAHawaii: no hospital in the corpus filed a usable priceHITexas: 3 hospitals filed a usable price — fewer than 10, so no figureTXFlorida: 4 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $5,003. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Michigan MI23$5,538+11%$3,054 – $5,538
New Jersey NJ12$5,110+2%$4,350 – $5,855
Oklahoma OK10$4,215−16%$4,215 – $4,215
Pennsylvania PA15$534−89%$435 – $5,577
Illinois IL9not enough hospitals filed a usable price
Ohio OH9not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
New York NY6not enough hospitals filed a usable price
California CA5not enough hospitals filed a usable price
Oregon OR5not enough hospitals filed a usable price
Wisconsin WI5not enough hospitals filed a usable price
Florida FL4not enough hospitals filed a usable price
Iowa IA4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Missouri MO3not enough hospitals filed a usable price
Nebraska NE3not enough hospitals filed a usable price
Texas TX3not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
Montana MT2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Vermont VT2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Arizona AZ1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Tennessee TN1not enough hospitals filed a usable price
Washington WA1not enough hospitals filed a usable price
West Virginia WV1not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $5,003.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care126$4,627$2,883 – $6,463
Children’s6fewer than 20 hospitals
Critical access23$6,446$1,817 – $16,681
Ownership
For-profit12fewer than 20 hospitals
Government20$4,411$3,162 – $6,463
Non-profit123$5,419$2,883 – $7,491
System affiliation
Part of a system123$5,339$2,882 – $7,498
Independent33$4,368$2,883 – $6,355

Cash price vs list price

Median list price (chargemaster)$6,195
Median cash price$5,003
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

How complete is this

156 of the 3,956 hospitals with a price file in our corpus (4%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 186 hospitals that filed this code at all gave us
Usable cash price — counted156
Cash price carrying a plausibility flag — shown on the compare tool, excluded here15
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded14
Hospitals that filed this code186

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other OR therapeutic nervous system procedures family.

Hospitals file this code under descriptions such as Crnec Sopl Exploration/Decompression Cranial Nrv.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Skull base surgery to explore or free cranial nerves (CPT 61458) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-61458-skull-base-surgery-to-explore-or-free-cranial-nerves