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Procedure price report · Other OR procedures on vessels of head and neck

Balloon treatment of brain artery spasm, first vessel

CPT 61640the billing code this page is about

Balloon dilation of a brain artery narrowed by vasospasm; this code covers the first artery treated, with separate codes for additional arteries.

Hospitals typically charge $4,628 cash for this outpatient procedure — the median across 714 hospitals that filed a usable cash price; the average of the middle 60% is $5,167. Most fall between $1,938 and $9,684 (20th–80th percentile).

Hospitals
714
States
49
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 714 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
$1,182$2,724$4,628$8,985$14,759

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($1,182 vs $14,759).

How the prices are spread

$754 – $1,046: 28 hospitals$754$1,046 – $1,452: 44 hospitals$1,452 – $2,015: 40 hospitals$1,452$2,015 – $2,797: 39 hospitals$2,797 – $3,883: 116 hospitals$2,797$3,883 – $5,389: 105 hospitals$5,389 – $7,480: 86 hospitals$5,389$7,480 – $10,382: 94 hospitals$10,382 – $14,409: 53 hospitals$10,382$14,409 – $20,000: 39 hospitals$14,409median $4,628price bands are equal on a log scale
Hospitals per price band (644 of 714 — the bands cover the 5th to 95th percentile)
FromToHospitals
$754$1,04628
$1,046$1,45244
$1,452$2,01540
$2,015$2,79739
$2,797$3,883116
$3,883$5,389105
$5,389$7,48086
$7,480$10,38294
$10,382$14,40953
$14,409$20,00039

By state

The median cash price in each state, against the national median of $4,628.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: 1 hospital filed a usable price — fewer than 10, so no figureMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: 3 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,998 across 24 hospitalsWA$2,998Idaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: 7 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $7,176 across 29 hospitalsIL$7,176Wisconsin: median $4,224 across 21 hospitalsWI$4,224Michigan: median $8,041 across 13 hospitalsMI$8,041New York: median $2,650 across 14 hospitalsNY$2,650Massachusetts: 9 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 9 hospitals filed a usable price — fewer than 10, so no figureORNevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 1 hospital filed a usable price — fewer than 10, so no figureWYSouth Dakota: 7 hospitals filed a usable price — fewer than 10, so no figureSDIowa: 3 hospitals filed a usable price — fewer than 10, so no figureIAIndiana: median $3,457 across 19 hospitalsIN$3,457Ohio: median $3,668 across 48 hospitalsOH$3,668Pennsylvania: median $4,627 across 27 hospitalsPA$4,627New Jersey: median $5,339 across 17 hospitalsNJ$5,339Connecticut: 7 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,439 across 64 hospitalsCA$3,439Utah: median $4,987 across 23 hospitalsUT$4,987Colorado: 8 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 9 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: median $2,709 across 15 hospitalsMO$2,709Kentucky: 7 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: median $8,762 across 21 hospitalsVA$8,762Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 1 hospital filed a usable price — fewer than 10, so no figureNMKansas: 1 hospital filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $867 across 11 hospitalsTN$867North Carolina: median $6,956 across 21 hospitalsNC$6,956South Carolina: median $8,342 across 19 hospitalsSC$8,342Oklahoma: median $1,975 across 18 hospitalsOK$1,975Louisiana: median $1,535 across 11 hospitalsLA$1,535Mississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $6,281 across 36 hospitalsGA$6,281Hawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,762 across 92 hospitalsTX$5,762Florida: median $5,275 across 45 hospitalsFL$5,275
Cash price by state, most expensive first. National median $4,628. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Virginia VA21$8,762+89%$1,732 – $8,762
South Carolina SC19$8,342+80%$8,342 – $9,956
Michigan MI13$8,041+74%$2,093 – $8,254
Illinois IL29$7,176+55%$1,767 – $10,501
North Carolina NC21$6,956+50%$4,562 – $6,956
Georgia GA36$6,281+36%$2,988 – $7,100
Texas TX92$5,762+25%$4,037 – $12,850
New Jersey NJ17$5,339+15%$4,350 – $6,839
Florida FL45$5,275+14%$3,024 – $9,269
Utah UT23$4,987+8%$4,987 – $5,866
Pennsylvania PA27$4,6270%$3,575 – $12,392
Wisconsin WI21$4,224−9%$1,895 – $4,735
Ohio OH48$3,668−21%$1,060 – $11,929
Indiana IN19$3,457−25%$2,730 – $4,477
California CA64$3,439−26%$1,182 – $11,014
Washington WA24$2,998−35%$818 – $8,964
Missouri MO15$2,709−41%$1,936 – $6,932
New York NY14$2,650−43%$1,938 – $9,657
Oklahoma OK18$1,975−57%$638 – $6,257
Louisiana LA11$1,535−67%$419 – $6,300
Tennessee TN11$867−81%$718 – $3,979
Alabama AL9not enough hospitals filed a usable price
Arizona AZ9not enough hospitals filed a usable price
Massachusetts MA9not enough hospitals filed a usable price
Nebraska NE9not enough hospitals filed a usable price
Oregon OR9not enough hospitals filed a usable price
Colorado CO8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Kentucky KY7not enough hospitals filed a usable price
Minnesota MN7not enough hospitals filed a usable price
South Dakota SD7not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Iowa IA3not enough hospitals filed a usable price
New Hampshire NH3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Kansas KS1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
New Mexico NM1not enough hospitals filed a usable price
Vermont VT1not enough hospitals filed a usable price
Wyoming WY1not 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 $4,628.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care647$4,628$1,895 – $9,269
Children’s16fewer than 20 hospitals
Critical access45$4,961$3,632 – $13,449
Ownership
For-profit68$4,628$1,614 – $13,449
Government75$5,312$3,063 – $7,546
Non-profit565$4,628$1,936 – $9,720
System affiliation
Part of a system664$4,628$1,973 – $9,571
Independent50$4,500$1,262 – $10,772

Cash price vs list price

Median list price (chargemaster)$9,486
Median cash price$4,628
Cash as a share of list, median hospital60%

At the typical hospital, asking for the cash price cuts the list price by about 40%. 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.

The same procedure, inpatient

607 hospitals filed a usable inpatient cash price for this code. The median is $4,628 and the average of the middle 60% is $5,152; most fall between $1,936 and $9,350.

Cash price percentiles, inpatient, across 607 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
$1,182$2,709$4,628$9,069$12,850

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($1,182 vs $12,850).

Of the 674 hospitals that filed this code inpatient, 607 gave a usable cash price; 30 carried a plausibility flag, 4 filed a number their own filing marks as not a price, 0 gave an estimate, and 33 a list price only.

How complete is this

714 of the 3,956 hospitals with a price file in our corpus (18%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 811 hospitals that filed this code at all gave us
Usable cash price — counted714
Cash price carrying a plausibility flag — shown on the compare tool, excluded here36
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded4
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded57
Hospitals that filed this code811

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 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other OR procedures on vessels of head and neck family.

Hospitals file this code under descriptions such as PR Balloon Dilation Intracranial Vasospasm, Init.

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, “Balloon treatment of brain artery spasm, first vessel (CPT 61640) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-61640-balloon-treatment-of-brain-artery-spasm-first-vessel