CPT 00211: Anesthesia for Intracranial Hematoma Evacuation
CPT code 00211 describes anesthesia services provided for intracranial procedures that involve removing a small portion of skull bone to evacuate a hematoma or blood clot from within the brain or surrounding tissues; service type: general anesthesia for neurosurgical hematoma evacuation; typical site of service: inpatient or outpatient hospital operating room for intracranial surgery.
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National Reimbursement Benchmarks
BUCA (average commercial) sits near the center of the national commercial distribution for CPT 00211 with a mean of $72.30 and an interquartile context consistent with other national payers. Among named commercial carriers, Cigna posts the highest mean at $93.10 while Blue Cross Blue Shield averages $64.30 and UnitedHealth Group averages $67.30; Aetna’s mean is $80.50. This positions BUCA as a moderate anchor between Cigna’s upper-tier pricing and BCBS/UnitedHealth Group’s mid-tier levels.
Dispersion measured by the interquartile range (P75 minus P25) is widest for Cigna at $53.20 (P75 $119.90 minus P25 $67.70), indicating greater variability in commercial contract rates, while UnitedHealth Group is the tightest at $27.80 (P75 $80.80 minus P25 $52.00). Blue Cross Blue Shield and Aetna show intermediate dispersion of $39.00 and $53.00 respectively, with BUCA’s IQR at $41.10, reflecting moderate spread around the average commercial rate.