Nevada · 61782

Computer-Assisted Procedure Outside Membrane Covering Brain in Nevada

Nevada Medicare Avg
$138.29
1% above national avg
National Medicare Avg
$136.62
All states combined
Billed Charge (NV)
$481.57
What providers submit
Est. Commercial (NV)
$415.89
National avg: $383.33
Est. Cash / Self-Pay (NV)
$262.40
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

141
Services in NV
19
Providers
N/A
Min Payment
N/A
Max Payment

Nevada Pricing in Context

In Nevada, CPT code 61782 (Computer-Assisted Procedure Outside Membrane Covering Brain) carries an average Medicare payment of $138.29 — 1% above the national benchmark of $136.62. 19 providers across the state submitted claims for this procedure in 2023, performing 141 total services. Individual payments in NV ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Nevada is $481.57, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Nevada sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Nervous System Surgery procedures, the estimated commercial insurance price in Nevada lands near $415.89, with self-pay cash prices typically around $262.40. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does Computer-Assisted Procedure Outside Membrane Covering Brain cost in Nevada?

The average Medicare payment for Computer-Assisted Procedure Outside Membrane Covering Brain in Nevada is $138.29, which is 1% above the national average of $136.62. Providers in NV typically bill $481.57 for this procedure.

What does Computer-Assisted Procedure Outside Membrane Covering Brain cost with insurance in Nevada?

With commercial insurance in Nevada, Computer-Assisted Procedure Outside Membrane Covering Brain costs an estimated $415.89. Without insurance, the estimated cash price is $262.40. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform Computer-Assisted Procedure Outside Membrane Covering Brain in Nevada?

19 providers in Nevada billed Medicare for Computer-Assisted Procedure Outside Membrane Covering Brain in 2023, performing 141 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is Computer-Assisted Procedure Outside Membrane Covering Brain cheaper in Nevada than the national average?

No — Computer-Assisted Procedure Outside Membrane Covering Brain costs 1% above the national average in Nevada. The state average Medicare payment is $138.29 compared to $136.62 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial