Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 61312 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Rnec/Crnot Sttl Xdrl/Sdrl, Removal Of Skull Bone For Aspiration Of Blood Accumulation In Upper Brain Outside Or Below Brain Membrane
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital 23 - Emergency Room |
| Common Modifiers | None AS - PA/NP/CNS assistant at surgery 78 - Return to OR - related procedure |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 61312 |
| Medicaid Fee Schedule | View Medicaid rates for 61312 |
National average reimbursement for CPT 61312 by major payers:
$2,545.19
$2,812.76
$3,010.44
$3,295.84
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 61312.
CPT 61312
5 of 25 sample ratesHigher to lower in this preview
Texas Health Harris Methodist Hospital Azle
$9,124.00Published ratePort St Lucie Surgery Center Ltd
$2,732.00Published rateSeattle Hand Surgery Group PC, Seattle Hand Surgery Unit, Inc
Seattle Hand Surgery Group, P.C.
$861.00Published rateSurgicare Of Mobile Ltd
$558.00Published rateArizona Skin Cancer Surgery Center, P.C.
Arizona Skin Cancer Surgery Center PC
$105.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 61312 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 61312 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 61312 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 61312-CPT | High | Rnec/Crnot Sttl Xdrl/Sdrl, Removal Of Skull Bone For Aspiration Of Blood Accumulation In Upper Brain Outside Or Below Brain Membrane |
| 61313-CPT | High | Crniectomy Or Crniotomy For Evacuat Of Hematom Supratentorial;, Craniectomy Or Craniotomy For Evacuation Of Hematoma Supratentorial; |
| 61314-CPT | High | Rnec/Crnot Ittl Xdrl/Sdrl, Removal Of Skull Bone For Aspiration Of Blood Accumulation In Lower Brain Outside Or Below Brain Membrane |
| 61315-CPT | High | Crniectomy Or Crniotomy For Evacuat Of Hematom Nfrtentorial;, Craniectomy Or Craniotomy For Evacuation Of Hematoma Infratentorial; |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61312. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 61312 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 61312) and we'll show you how you compare in 15 minutes or less.