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The consultation includes a neurological exam and detailed review of your imaging (MRI, CT). The neurosurgeon will explain whether surgery is recommended, what the procedure involves, the expected outcome, and the risks. They may recommend trying conservative treatments first (physical therapy, injections, medication) before operating. For elective procedures, you will have time to ask questions and seek a second opinion if desired.
See a neurosurgeon for brain tumors, herniated discs causing nerve compression, spinal stenosis not improving with conservative treatment, spinal fractures or instability, brain aneurysms, trigeminal neuralgia, carpal tunnel syndrome (when surgery is needed), hydrocephalus, Chiari malformation, and traumatic injuries to the brain or spine. Your neurologist, PCP, or ER physician will typically make the referral.
Consultation copay: $30-75 · Discectomy: $15,000-50,000 · Spinal fusion: $25,000-100,000+ · Brain tumor removal: $50,000-150,000+
Neurosurgery is covered under medical insurance when medically indicated. Prior authorization is required for nearly all elective neurosurgical procedures. Verify that the neurosurgeon, the hospital, and the anesthesiologist are all in-network. Spine surgery and brain surgery are among the most expensive procedures in medicine. Request a detailed cost estimate and confirm your out-of-pocket maximum.