How much does Medicare pay for CPT 61867?

Medicare allowed an average of $2149.59 per service and paid $1713.86 of that, the balance being the patient's coinsurance and deductible (2024 data). Providers submitted an average of $10,396, which is what they billed rather than what they received — Medicare pays its fee schedule regardless of the charge.

What is CPT code 61867?

Removal of skull bone with computer-assisted insertion of neurostimulator electrodes in brain with recording, first array. It was billed 1,279 times to 1,154 Medicare beneficiaries by 67 providers in 2024.

Which specialty bills 61867 most?

Neurosurgery, with 1,100 services from 56 clinicians. Next are Physician Assistant, Nurse Practitioner, Neurology.

CPT 61867

Removal of skull bone with computer-assisted insertion of neurostimulator electrodes in brain with recording, first array

$2149.59Medicare-allowed amount per service, averaged across 1,279 services

Providers submitted

$10,396

Asking price, not received

Medicare allowed

$2149.59

The fee schedule figure

Medicare paid

$1713.86

Balance is patient coinsurance

Providers submitted an average of $10,396 for this code and Medicare allowed $2149.59 — 4.8× less. That gap is normal and means nothing on its own: Medicare pays its fee schedule regardless of what is billed, so the submitted figure describes a hospital chargemaster, not a price anyone paid. Of the allowed amount Medicare paid $1713.86 (80%); the rest is the patient’s coinsurance and deductible.

Services: 1,279
Beneficiaries: 1,154
Providers billing it: 67
Total allowed: $2,749,326

What Medicare pays for CPT 61867

Across 1,279 services billed by 67 providers to 1,154 beneficiaries, Medicare allowed an average of $2149.59 per service. The allowed amount is the figure that matters: it is what Medicare and the patient together owe, set by the fee schedule and adjusted for local practice costs. What a provider chose to submit has no bearing on it.

Who bills 61867

Specialty	Services	Beneficiaries	Avg allowed	Providers
Neurosurgery	1,100	988	$2419.94	56
Physician Assistant	109	105	$343.53	7
Nurse Practitioner	44	38	$321.05	2
Neurology	26	23	$1377.54	2

61867 reimbursement by state

Two different numbers. Allowed is what Medicare actually allowed in that state, which includes the local practice-cost adjustment. Standardized strips that geographic adjustment out of the payment, so it is the column to use when comparing states — a difference there reflects how the code was billed, not what it costs to run a practice locally.

State	Services	Allowed	Standardized pmt	Providers
Florida	203	$2237.55	$1646.49	11
California	187	$1929.05	$1500.72	12
Texas	114	$2802.62	$2083.23	5
Washington	82	$1535.02	$1210.46	3
Pennsylvania	76	$2401.98	$1803.55	2
New York	74	$2840.04	$1834.16	3
Montana	62	$1318.43	$1044.78	2
Tennessee	50	$1533.18	$1418.42	3
Georgia	48	$1705.44	$1323.35	3
Kentucky	46	$2367.06	$1815.60	2
Ohio	41	$2217.50	$1803.85	2
North Carolina	38	$2280.35	$1992.68	3
Illinois	34	$2784.79	$1803.94	1
Minnesota	31	$1972.92	$1802.83	2
South Carolina	31	$2159.30	$1862.64	2
Colorado	28	$1474.09	$1190.23	2
Alabama	27	$1975.94	$1803.24	2
Iowa	17	$1925.17	$1893.67	1
Virginia	17	$2146.56	$1805.69	1
District of Columbia	17	$2709.53	$1797.87	1
Kansas	16	$2069.27	$1810.90	1
Louisiana	15	$2186.38	$1793.38	1
New Jersey	13	$3711.69	$2709.52	1
Indiana	12	$1893.55	$1729.20	1

Related codes

61886Insertion of brain neurostimulator pulse device$1268.93
61800Computer-assisted radiosurgery application of headframe$151.51
61885Insertion of brain neurostimulator pulse device$1053.49

Billing this code is not the same as earning it

An allowed amount is revenue to a practice, not income to a clinician. It funds staff, premises, equipment and supplies before anyone is paid. What clinicians actually earn is published separately by the Department of Labor, and what industry pays them is published separately again by CMS — this site carries both.

What doctors are paid →·Look up a clinician →·All procedure codes →

Where this comes from. CMS Medicare Physician & Other Practitioners, by Provider and Service, 2024. It covers fee-for-service Original Medicare Part B only — not Medicare Advantage, not Medicaid, and not commercial insurance, which typically pays more for the same code.

How it is averaged. CMS publishes one average per provider per code. Every figure here is re-weighted by the number of services, so a clinician who billed the code 4,000 times counts 4,000 times more than one who billed it twice. CMS also suppresses any provider-code pair with fewer than 11 beneficiaries, so low-volume practice is missing from these totals by design.