Brain shunt (VP shunt) Cost by Hospital

Brain shunt (VP shunt) is a surgical procedure. Prices are from 973 US hospitals across 51 states, from their machine-readable files.

$3,143median cash price · 973 hospitals, 51 statestypically $659–$10,850 depending on the hospital
≈ 3.1× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$4,330
Cash / self-pay
$3,143
Insurer-negotiated
$2,750
Medicare pays
$1,023
$659$10,850
Median cash $3,143  ·  Medicare $1,023  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $3,143 — about 3.1× the Medicare rate ($1,023). On the higher side. A fair cash price is usually within ~2× Medicare ($2,047).

💡 Asking for the cash price instead of the $4,330 list price could save about $1,187 (27%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Ochsner Medical Center-Baton Rouge Baton Rouge, LA $514 — ★ 4/5 197 min —
Saint Vincent Hospital Erie, PA $526 $882 ★ 4/5 219 min —
Jefferson Hospital Louisville, GA $556 $882 — 99 min —
Jefferson Hospital Jefferson Hills, PA $556 $882 ★ 4/5 170 min —
Westfield Memorial Hospital, Inc Westfield, NY $643 $882 — 120 min —
Canonsburg General Hospital Canonsburg, PA $643 $882 ★ 3/5 155 min —
Forbes Hospital Monroeville, PA $643 $882 ★ 3/5 261 min —
Unity Health-Jacksonville Jacksonville, AR $661 — — 130 min —
Unity Health-Newport Newport, AR $661 — — 103 min —
Grove City Medical Center Grove City, PA $673 $907 ★ 4/5 150 min —
Nacogdoches Memorial Hospital Nacogdoches, TX $688 $1,506 ★ 2/5 174 min —
Allegheny Valley Hospital Natrona, PA $702 $882 ★ 4/5 203 min —
Allegheny General Hospital Pittsburgh, PA $702 $882 ★ 3/5 274 min —
Ahn Wexford Hospital Wexford, PA $760 $1,206 ★ 5/5 184 min —
West Penn Hospital Pittsburgh, PA $789 $1,206 ★ 3/5 208 min —
Red Bud Regional Hospital Red Bud, IL $815 $1,397 ★ 4/5 122 min —
O'connor Hospital Delhi, NY $891 $1,201 — 95 min —
Little Falls Hospital Little Falls, NY $891 $993 ★ 2/5 109 min —
Cobleskill Regional Hospital Cobleskill, NY $891 $1,130 ★ 4/5 111 min —
Rochester General Hospital Rochester, NY $1,019 $1,092 ★ 2/5 233 min —
Boulder Community Health Boulder, CO $1,029 $1,441 ★ 4/5 135 min —
Bayside Community Hospital Anahuac, TX $1,091 $628 — 106 min —
Vanderbilt Bedford Hospital Shelbyville, TN $1,131 $1,244 ★ 4/5 125 min —
Vanderbilt Tullahoma-Harton Hospital Tullahoma, TN $1,131 $1,196 ★ 3/5 168 min —
Alice Peck Day Memorial Hospital Lebanon, NH $1,196 $1,715 ★ 4/5 118 min —

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Brain shunt (VP shunt)

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $3,143; Medicare pays $1,023.

InsurerHospitalsNegotiated median
Medicaid 78
$336
$52 – $531
Medicare 94
$412
$70 – $983
Health Net 53
$446
$58 – $5,619
Tricare / VA 72
$478
$78 – $1,551
Highmark 47
$496
$78 – $1,282
Kaiser Permanente 53
$514
$64 – $2,305
Univera 11
$727
$112 – $1,198
AmeriHealth 67
$874
$175 – $6,049
Sanford Health Plan 23
$902
$365 – $6,682
Security Health Plan 18
$902
$369 – $3,303
Centene / Ambetter 214
$942
$69 – $2,250
Amerigroup 59
$958
$480 – $2,365
Priority Health 25
$966
$369 – $5,566
UCare 23
$974
$678 – $2,506
Blue Cross Blue Shield 427
$1,014
$88 – $14,110
Devoted Health 35
$1,018
$954 – $13,780
MVP Health Care 30
$1,032
$329 – $4,185
HealthPartners 59
$1,074
$221 – $4,658
Molina Healthcare 196
$1,081
$123 – $3,242
Coventry 20
$1,203
$189 – $4,633
Geisinger 21
$1,206
$241 – $6,737
Anthem 211
$1,278
$96 – $9,166
MultiPlan / PHCS network 83
$1,337
$96 – $6,161
Independent Health 14
$1,342
$480 – $1,342
Humana 279
$1,566
$161 – $4,690
Medica 42
$2,089
$712 – $3,278
Aetna 388
$2,305
$313 – $8,439
Workers' Comp / No-Fault 18
$2,485
$2,485 – $2,485
UPMC Health Plan 28
$2,703
$978 – $7,317
SelectHealth 22
$2,744
$957 – $5,307
Harvard Pilgrim 11
$2,803
$369 – $4,162
UnitedHealthcare 597
$3,080
$369 – $9,858
Oscar Health 69
$3,435
$1,759 – $6,587
EmblemHealth 32
$5,272
$2,446 – $18,107
Healthcare Highways 23
$5,841
$2,069 – $14,612
Cigna 360
$6,802
$1,095 – $23,561
AvMed 29
$8,168
$749 – $11,861

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Georgia$472
Pennsylvania$775
Colorado$1,029
Kansas$1,489
Missouri$1,512
Ohio$1,603

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

Does Medicare cover Brain shunt (VP shunt)?

Yes — Medicare generally covers Brain shunt (VP shunt). It is typically an inpatient service, so Medicare Part A (hospital insurance) pays the hospital a bundled rate — Medicare’s benchmark payment is about $1,023. Your own cost is mainly the Part A hospital deductible for the benefit period (a flat amount, not a percentage), plus any physician (Part B) charges. A Medicare Advantage or Medigap plan can change what you owe.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 973 US hospitals across 51 states, the typical (median) cash price is $3,143, versus a chargemaster (list) price around $4,330, a median insurer-negotiated rate of $2,750, a Medicare rate of about $1,023. Most cash prices fall between $659 and $10,850 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Brain shunt (VP shunt) cost without insurance?
The median cash (self-pay) price across 973 US hospitals is $3,143. Most hospitals fall between $659 and $10,850. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Brain shunt (VP shunt)?
Yes — it is generally covered under Medicare Part A as an inpatient service (Medicare's benchmark payment is about $1,023). You pay the Part A hospital deductible for the benefit period, plus any Part B physician charges.
What does Medicare pay for Brain shunt (VP shunt)?
Medicare pays about $1,023. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Brain shunt (VP shunt) prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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