Neurosurgical emergencies are dangerous (long-term impairment and a high fatality rate) and expensive for the national health system. The following costs are estimated: direct healthcare costs, technology and maintenance costs, patient transfer and attending staff costs, additional costs of treating non-transfer cases at general hospitals, and consultation fees; however, facility charges and human resource costs of local hospitals were not included in the cost estimation because the new intervention used existing facilities and resources. The transfer costs were calculated by multiplying the unit cost per kilometer by the total distance traveled. One medical doctor, one nurse, and one driver were among the attending staff for the referral service.