How do Medicare & Medicaid rates impact fee schedules?

Medicare & Medicaid rates are government-set reimbursement amounts that influence the fee schedules for services like CPT 61624.

How do private insurance rates affect CPT 61624 fee schedules?

Private insurance rates for CPT 61624 are negotiated between healthcare providers and insurance companies, determining reimbursement amounts.

Does geographic location influence CPT 61624 fees?

Yes, geographic location can influence CPT 61624 fees, with costs potentially being higher in urban areas compared to rural areas.

How can I find the cost of a medical procedure or service?

To find the cost of a medical procedure or service, you can often start by contacting your insurance provider directly, as they can provide information about your specific coverage and potential out-of-pocket costs. However, for a more direct way to look up specific prices based on CPT codes and your location, it is recommended to utilize tools like Payerprice. They offer a fee schedule lookup tool that can help you understand potential costs before receiving care.

What is a CPT code and why is it important for understanding medical costs?

CPT stands for "Current Procedural Terminology." CPT codes are a set of medical codes used by physicians, healthcare providers, and payers to describe medical, surgical, and diagnostic services. Each service you receive from a healthcare provider typically has a corresponding CPT code. These codes are crucial for understanding medical costs because they standardize the identification of services, allowing for consistent billing, processing of claims, and, importantly, for price transparency tools to provide specific cost estimates for defined procedures.

Where can I find specific price information for a medical service using a CPT code and my location?

For specific price information for a medical service using a CPT code and your location, it is recommended to use a specialized fee schedule lookup tool. Payerprice offers such a tool, allowing users to search with a specific CPT code and their location to find relevant fee schedule data. This can help you understand the potential cost of a service before you receive it.

What factors influence the cost of healthcare services?

The cost of healthcare services can be influenced by numerous factors, including: Provider Charges (different hospitals/clinics have varying price structures), Geographic Location (costs differ significantly between regions), Insurance Coverage (your specific health plan, deductible, copayments, and coinsurance), In-network vs. Out-of-network (in-network services are generally cheaper), Type of Service (routine vs. specialized), Facility Type (hospital vs. independent office), and Negotiated Rates (insurers negotiate different rates with providers).

Why do healthcare prices vary so much?

Healthcare prices vary widely due to a complex interplay of factors, including the lack of standardized pricing across providers and insurers, regional cost differences (e.g., labor, real estate), market competition (or lack thereof), the specific health plan you have and its negotiated rates with providers, and whether a service is rendered in an inpatient, outpatient, or physician office setting. The historical opacity of healthcare pricing has contributed to these variations, though new transparency regulations aim to make pricing more accessible.

CPT 61624 Fee Schedule

Q: What factors affect CPT 61624 fee schedules?

Factors affecting fee schedules for CPT 61624 include 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), and Provider Type (hospital providers may have different rates than private practice).

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.

Tcat Perm Occls/Embolj Cns, Transcatheter Permanent Occlusion Or Embolization (Eg For Tumor Destruction To Achieve Hemostasis To Occlude A Vascular Malformation) Including All Radiological Supervision And Interpretation Intraprocedural Roadmapping And Imaging Guidance Necessary To Complete The Intervention Percutaneous Any Method; Central Nervous System (Intracranial Spinal Cord)

Key Fact	Detail
Service Type	Surgery Surgical Procedures on the Nervous System
Common Place of Service	21 - Inpatient Hospital 22 - On Campus Outpatient Hospital
Common Modifiers	None GC - Service performed by resident under supervision 59 - Distinct Procedural Service
Complexity Level	High
Medicare Fee Schedule	View Medicare rates for 61624
Medicaid Fee Schedule	View Medicaid rates for 61624

National average reimbursement for CPT 61624 by major payers:

$1,493.99

$1,571.31

$1,692.96

$1,845.21

Compare published rates across providers.

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CPT 61624

5 of 25 sample ratesHigher to lower in this preview

Dalia Eid
Stony Brook Childrens Service University Faculty Practice Corp
NYPediatric Infectious Diseases PhysicianNPI 1679012975Tax ID 11-2571524
$9,284.54Published rate
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
MAPediatrics PhysicianNPI 1073502985Tax ID 42-484572
$2,687.20Published rate
Alexander Radnovich
Deaconess Hospital Inc
INPsychiatry PhysicianNPI 1669630661Tax ID 35-0593390
$1,971.80Published rate
Jason Liou
Town Center Orthopaedic Associates, P.C.
VAPhysical TherapistNPI 1437869229Tax ID 54-1383504
$1,431.96Published rate
Pamela Binns-Turner
Deaconess Hospital Inc
SCCertified Registered Nurse AnesthetistNPI 1588634786Tax ID 35-0593390
$905.96Published rate

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Summit Women's CareDenver, Colorado

September 2, 2026

Contracting Manager
UnitedHealthcare
Commercial PPO

Re: Request for fee schedule renegotiation

We request a formal review of our Commercial PPO fee schedule. The comparison below summarizes our current rate alongside published rates for comparable Denver-area practices.

Market evidence · CPT 59485

Current rate: $152.40
Market median: $147.00
Market position: 61st percentile

The comparison includes 1,284 published rates from 96 provider groups, scoped to OB/GYN providers in a professional, office-based setting.

We would welcome a discussion of our fee schedule and the supporting July 2026 market analysis. Please let us know a suitable time to review the comparison together.

Sincerely,
Summit Women's Care

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CPT 61624 vs. Other Surgical Procedures on the Nervous System Codes

The CPT 61624 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 61624 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
61623-CPT	Moderate	Endovasc Tempory Vessel Occl, Endovascular Temporary Balloon Arterial Occlusion Head Or Neck Extracranial Intracranial Including Selective Catheterization Of Vessel To Be Occluded Positioning And Inflation Of Occlusion Balloon Concomitant Neurological Monitoring And Radiologic Supervision And Interpretation Of All Angiography Required For Balloon Occlusion And To Exclude Vascular Injury Post Occlusion
61624-CPT	High	Tcat Perm Occls/Embolj Cns, Transcatheter Permanent Occlusion Or Embolization (Eg For Tumor Destruction To Achieve Hemostasis To Occlude A Vascular Malformation) Including All Radiological Supervision And Interpretation Intraprocedural Roadmapping And Imaging Guidance Necessary To Complete The Intervention Percutaneous Any Method; Central Nervous System (Intracranial Spinal Cord)
61626-CPT	High	Tcat Perm Occls Embol Noncns, Transcatheter Permanent Occlusion Or Embolization (Eg For Tumor Destruction To Achieve Hemostasis To Occlude A Vascular Malformation) Including All Radiological Supervision And Interpretation Intraprocedural Roadmapping And Imaging Guidance Necessary To Complete The Intervention Percutaneous Any Method Non-Central Nervous System Head Or Neck (Extracranial Brachiocephalic Branch)
61645-CPT	High	Perq Art M Thrombect Nfs, Percutaneous Arterial Transluminal Mechanical Thrombectomy And Or Infusion For Thrombolysis Intracranial Any Method Including Diagnostic Angiography Fluoroscopic Guidance Catheter Placement And Intraprocedural Pharmacological Thrombolytic Injection S

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 61624. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 61624 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.

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CPT 61624 Fee Schedule

Dalia Eid

Chu Chen

Alexander Radnovich

Jason Liou

Pamela Binns-Turner