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Procedure price report · Other OR therapeutic nervous system procedures

Computer-assisted navigation inside the skull, add-on

CPT 61781the billing code this page is about

Add-on service for computer-guided surgical navigation used during an operation within the lining of the brain; billed once in addition to the main procedure.

Hospitals typically charge $1,015 cash for this outpatient procedure — the median across 388 hospitals that filed a usable cash price; the average of the middle 60% is $1,351. Most fall between $432 and $3,142 (20th–80th percentile).

Hospitals
388
States
46
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 388 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
$239$491$1,015$2,693$4,421

The most expensive tenth of hospitals charges at least 18× what the cheapest tenth charges ($239 vs $4,421).

How the prices are spread

$152 – $223: 15 hospitals$152$223 – $327: 19 hospitals$327 – $478: 34 hospitals$327$478 – $700: 81 hospitals$700 – $1,025: 35 hospitals$700$1,025 – $1,502: 43 hospitals$1,502 – $2,199: 21 hospitals$1,502$2,199 – $3,220: 62 hospitals$3,220 – $4,716: 29 hospitals$3,220$4,716 – $6,905: 12 hospitals$4,716median $1,015price bands are equal on a log scale
Hospitals per price band (351 of 388 — the bands cover the 5th to 95th percentile)
FromToHospitals
$152$22315
$223$32719
$327$47834
$478$70081
$700$1,02535
$1,025$1,50243
$1,502$2,19921
$2,199$3,22062
$3,220$4,71629
$4,716$6,90512

By state

The median cash price in each state, against the national median of $1,015.

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: 2 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 5 hospitals filed a usable price — fewer than 10, so no figureNHWashington: 6 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 4 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,545 across 25 hospitalsMN$2,545Illinois: median $553 across 13 hospitalsIL$553Wisconsin: median $1,058 across 32 hospitalsWI$1,058Michigan: median $504 across 30 hospitalsMI$504New York: median $581 across 17 hospitalsNY$581Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $742 across 15 hospitalsOR$742Nevada: 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: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $553 across 17 hospitalsIA$553Indiana: 1 hospital filed a usable price — fewer than 10, so no figureINOhio: median $956 across 10 hospitalsOH$956Pennsylvania: median $490 across 20 hospitalsPA$490New Jersey: median $4,881 across 20 hospitalsNJ$4,881Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $2,283 across 46 hospitalsCA$2,283Utah: 1 hospital filed a usable price — fewer than 10, so no figureUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 6 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 6 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: 3 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 6 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals 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: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 2 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 1 hospital filed a usable price — fewer than 10, so no figureSCOklahoma: median $491 across 12 hospitalsOK$491Louisiana: 1 hospital filed a usable price — fewer than 10, so no figureLAMississippi: 2 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 3 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $1,015 across 17 hospitalsGA$1,015Hawaii: no hospital in the corpus filed a usable priceHITexas: median $2,068 across 20 hospitalsTX$2,068Florida: median $975 across 11 hospitalsFL$975
Cash price by state, most expensive first. National median $1,015. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ20$4,881+381%$2,693 – $6,311
Minnesota MN25$2,545+151%$622 – $2,693
California CA46$2,283+125%$1,342 – $3,142
Texas TX20$2,068+104%$2,068 – $2,171
Wisconsin WI32$1,058+4%$1,058 – $4,421
Georgia GA17$1,0150%$540 – $3,905
Florida FL11$975−4%$513 – $2,827
Ohio OH10$956−6%$196 – $975
Oregon OR15$742−27%$432 – $742
New York NY17$581−43%$277 – $972
Iowa IA17$553−46%$553 – $553
Illinois IL13$553−46%$188 – $1,388
Michigan MI30$504−50%$343 – $612
Oklahoma OK12$491−52%$491 – $491
Pennsylvania PA20$490−52%$146 – $3,554
Missouri MO6not enough hospitals filed a usable price
Nebraska NE6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
Virginia VA6not enough hospitals filed a usable price
Washington WA6not enough hospitals filed a usable price
New Hampshire NH5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Idaho ID4not enough hospitals filed a usable price
Alabama AL3not enough hospitals filed a usable price
Kansas KS3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
West Virginia WV3not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Mississippi MS2not enough hospitals filed a usable price
North Carolina NC2not 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
Indiana IN1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Louisiana LA1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maine ME1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
South Carolina SC1not enough hospitals filed a usable price
South Dakota SD1not enough hospitals filed a usable price
Utah UT1not 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 $1,015.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care324$975$432 – $3,142
Children’s13fewer than 20 hospitals
Critical access50$1,058$445 – $2,171
Ownership
For-profit26$1,058$354 – $3,623
Government37$612$431 – $2,723
Non-profit324$1,025$432 – $3,142
System affiliation
Part of a system336$1,058$487 – $3,142
Independent52$573$365 – $1,484

Cash price vs list price

Median list price (chargemaster)$1,015
Median cash price$1,015
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.

The same procedure, inpatient

264 hospitals filed a usable inpatient cash price for this code. The median is $737 and the average of the middle 60% is $1,035; most fall between $436 and $2,283.

Cash price percentiles, inpatient, across 264 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
$262$487$737$2,171$3,142

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($262 vs $3,142).

Of the 290 hospitals that filed this code inpatient, 264 gave a usable cash price; 18 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 8 a list price only.

How complete is this

388 of the 3,956 hospitals with a price file in our corpus (10%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 439 hospitals that filed this code at all gave us
Usable cash price — counted388
Cash price carrying a plausibility flag — shown on the compare tool, excluded here35
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded16
Hospitals that filed this code439

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 therapeutic nervous system procedures family.

Hospitals file this code under descriptions such as Strtctc Cptr Asstd Px Cranial Intradural.

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, “Computer-assisted navigation inside the skull, add-on (CPT 61781) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-61781-computer-assisted-navigation-inside-the-skull-add-on