Pilonidal cyst removal Cost by Hospital

Pilonidal cyst removal is a surgical procedure. Prices are from 1665 US hospitals across 52 states, from their machine-readable files.

$2,903median cash price · 1665 hospitals, 52 statestypically $662–$8,709 depending on the hospital
≈ 5.4× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$5,394
Cash / self-pay
$2,903
Insurer-negotiated
$2,968
Medicare pays
$541
$662$8,709
Median cash $2,903  ·  Medicare $541  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $2,903 — about 5.4× the Medicare rate ($541). High vs Medicare. A fair cash price is usually within ~2× Medicare ($1,083).

💡 Asking for the cash price instead of the $5,394 list price could save about $2,491 (46%).

Estimate what you’ll pay
Quick fill:

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
United Memorial Medical Center Batavia, NY $442 $304 ★ 2/5 164 min 14.7%
Mary Immaculate Hospital Newport News, VA $449 ★ 4/5 173 min 14.8%
Bon Secours Harbour View Medical Center Suffolk, VA $449
Regional West Medical Center Scottsbluff, NE $460 $703 ★ 2/5 201 min 14.9%
Montgomery General Hospital Montgomery, WV $464 $4,006 110 min 14.7%
Troy Community Hospital Troy, PA $465 $581 ★ 4/5 133 min 15.6%
Delta County Memorial Hospital Delta, CO $469 $782 ★ 3/5 152 min 14.8%
Brookings Health System Brookings, SD $471 $847 ★ 4/5 100 min 13.7%
Hamilton Memorial Hospital Mcleansboro, IL $471 ★ 3/5 122 min 15.2%
Mount Carmel East & West Columbus, OH $472 $524 ★ 2/5 145 min 15.4%
Children's Mercy South Overland Park, KS $473 $531
The Children's Mercy Hospital Kansas City, MO $473 $531
Athol Memorial Hospital Athol, MA $475 $3,802 ★ 2/5 176 min 15.3%
Memorial Healthcare Owosso, MI $477 $3,794 ★ 3/5 189 min 14.9%
Tug Valley ARH Regional Medical Center South Williamson, KY $481 $172 ★ 2/5 176 min 16.4%
Red Bud Regional Hospital Red Bud, IL $481 $732 ★ 4/5 121 min 15.6%
Deaconess Hospital Inc Evansville, IN $481 $404 ★ 2/5 189 min 15.3%
The Women's Hospital Newburgh, IN $481 $535 ★ 5/5 128 min
Deaconess Henderson Hospital Henderson, KY $481 $569 ★ 2/5 127 min 15.1%
Nemaha County Hospital Auburn, NE $482 $315 110 min 14.7%
San Juan Hospital Monticello, UT $483 $433 122 min 14.9%
Heywood Hospital Gardner, MA $492 $4,337 ★ 2/5 194 min 15.7%
Beloit Health System Beloit, WI $495 $2,490 ★ 3/5 122 min 15.5%
St Joseph's Hospital of Buckhannon, Inc Buckhannon, WV $500 ★ 3/5 142 min 16.4%
Johnson Memorial Hospital Stafford Springs, CT $503 $95 ★ 3/5 178 min 16.0%

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 June 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 Pilonidal cyst removal

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: $2,903; Medicare pays $541.

InsurerHospitalsNegotiated median
Medicaid 196
$146
$61 – $1,141
Univera 14
$197
$20 – $478
Medicare 334
$231
$89 – $3,321
Geisinger 49
$373
$220 – $3,356
Independent Health 27
$420
$180 – $1,144
Highmark 99
$477
$146 – $6,331
Tricare / VA 247
$591
$150 – $3,557
MVP Health Care 58
$647
$187 – $5,799
Priority Health 45
$675
$243 – $2,894
Workers' Comp / No-Fault 67
$691
$482 – $4,372
AmeriHealth 138
$725
$159 – $8,727
Amerigroup 130
$856
$298 – $2,900
UCare 44
$1,081
$180 – $4,962
HealthPartners 138
$1,137
$177 – $5,153
Centene / Ambetter 575
$1,150
$167 – $5,360
Harvard Pilgrim 39
$1,228
$446 – $5,345
Molina Healthcare 434
$1,240
$164 – $3,369
Sanford Health Plan 38
$1,380
$186 – $5,068
Bright Health 42
$1,531
$1,257 – $4,748
Medica 92
$1,595
$322 – $4,401
Health Net 167
$1,718
$142 – $7,371
Blue Cross Blue Shield 943
$2,268
$166 – $7,916
MultiPlan / PHCS network 371
$2,303
$316 – $6,600
Coventry 78
$2,687
$267 – $6,737
UPMC Health Plan 59
$2,734
$256 – $7,077
Anthem 394
$2,764
$171 – $8,635
Security Health Plan 31
$2,784
$167 – $6,968
Humana 719
$2,835
$205 – $4,690
Devoted Health 111
$2,876
$1,827 – $3,251
Kaiser Permanente 166
$2,899
$165 – $8,445
UnitedHealthcare 1064
$3,047
$292 – $8,568
Aetna 958
$3,152
$362 – $7,996
SelectHealth 35
$3,642
$536 – $5,307
Healthcare Highways 35
$3,650
$3,041 – $5,524
Cigna 772
$4,555
$784 – $11,166
Oscar Health 142
$5,372
$1,815 – $8,023
EmblemHealth 50
$6,404
$622 – $22,916
AvMed 32
$8,253
$2,778 – $12,418

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
Puerto Rico$360
Vermont$645
New Hampshire$707
Montana$855
Maine$886
Kentucky$1,004

Prices by city

Prices by state

About these prices

Based on prices published by 1665 US hospitals across 52 states, the typical (median) cash price is $2,903, versus a chargemaster (list) price around $5,394, a median insurer-negotiated rate of $2,968, a Medicare rate of about $541. Most cash prices fall between $662 and $8,709 — 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 Pilonidal cyst removal cost without insurance?
The median cash (self-pay) price across 1665 US hospitals is $2,903. Most hospitals fall between $662 and $8,709. Prices vary widely between hospitals, so it pays to compare before you book.
What does Medicare pay for Pilonidal cyst removal?
Medicare pays about $541. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Pilonidal cyst removal 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.

Related Surgery & Procedures

See more Surgery & Procedures.