Pilonidal cyst removal Cost by Hospital

Pilonidal cyst removal is a surgical procedure. Prices are from 1720 US hospitals across 52 states, from their machine-readable files.

$2,938median cash price · 1720 hospitals, 52 statestypically $666–$8,683 depending on the hospital
≈ 5.4× Medicare · High vs MedicareFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$5,620
Cash / self-pay
$2,938
Insurer-negotiated
$2,948
Medicare pays
$541
$666$8,683
Median cash $2,938  ·  Medicare $541  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $2,938 — 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 $5,620 list price could save about $2,682 (48%).

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
United Memorial Medical Center Batavia, NY $442 $304 ★ 2/5 167 min —
Mary Immaculate Hospital Newport News, VA $449 — ★ 4/5 174 min —
Bon Secours Harbour View Medical Center Suffolk, VA $449 — — — —
Regional West Medical Center Scottsbluff, NE $460 $703 ★ 2/5 202 min —
Montgomery General Hospital Montgomery, WV $464 $4,006 — 100 min —
Troy Community Hospital Troy, PA $465 $581 ★ 4/5 140 min —
Delta County Memorial Hospital Delta, CO $469 $782 ★ 3/5 143 min —
Brookings Health System Brookings, SD $471 $847 ★ 4/5 97 min —
Hamilton Memorial Hospital Mcleansboro, IL $471 — ★ 3/5 116 min —
Mount Carmel East & West Columbus, OH $472 $524 ★ 2/5 147 min —
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 ★ 2/5 174 min —
Memorial Healthcare Owosso, MI $477 $3,794 ★ 3/5 181 min —
Tug Valley ARH Regional Medical Center South Williamson, KY $481 $172 ★ 2/5 168 min —
Ashtabula County Medical Center Ashtabula, OH $481 $623 ★ 3/5 194 min —
Red Bud Regional Hospital Red Bud, IL $481 $732 ★ 4/5 122 min —
Deaconess Hospital Inc Evansville, IN $481 $404 ★ 2/5 186 min —
The Women's Hospital Newburgh, IN $481 $535 ★ 5/5 130 min —
Deaconess Henderson Hospital Henderson, KY $481 $569 ★ 2/5 127 min —
Nemaha County Hospital Auburn, NE $482 $315 — 110 min —
San Juan Hospital Monticello, UT $483 $433 — 128 min —
Heywood Hospital Gardner, MA $492 $4,337 ★ 2/5 192 min —
Beloit Health System Beloit, WI $495 $2,490 ★ 3/5 129 min —
St Joseph's Hospital of Buckhannon, Inc Buckhannon, WV $500 — ★ 3/5 141 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 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: $2,938; Medicare pays $541.

InsurerHospitalsNegotiated median
Medicaid 203
$146
$61 – $1,141
Univera 14
$197
$20 – $478
Medicare 339
$231
$89 – $3,319
Geisinger 51
$373
$220 – $3,505
Independent Health 28
$425
$183 – $1,425
Highmark 106
$477
$146 – $6,331
Tricare / VA 252
$591
$153 – $3,467
MVP Health Care 59
$647
$187 – $5,799
Priority Health 44
$656
$243 – $2,894
Workers' Comp / No-Fault 67
$691
$482 – $4,372
Amerigroup 134
$856
$298 – $2,904
AmeriHealth 154
$951
$159 – $8,309
UCare 46
$1,139
$180 – $4,950
Molina Healthcare 459
$1,141
$164 – $3,242
HealthPartners 144
$1,141
$178 – $5,062
Centene / Ambetter 596
$1,158
$169 – $5,253
Harvard Pilgrim 39
$1,228
$449 – $5,345
Sanford Health Plan 38
$1,380
$186 – $5,068
Medica 96
$1,530
$322 – $4,401
Bright Health 42
$1,531
$1,257 – $4,748
Health Net 170
$1,718
$142 – $7,370
Blue Cross Blue Shield 961
$2,252
$166 – $7,916
MultiPlan / PHCS network 405
$2,373
$323 – $6,740
Coventry 82
$2,696
$306 – $6,737
UPMC Health Plan 75
$2,748
$280 – $6,706
Anthem 435
$2,770
$183 – $8,343
Security Health Plan 32
$2,785
$250 – $7,155
Humana 751
$2,829
$205 – $4,690
Devoted Health 127
$2,846
$2,161 – $3,240
Kaiser Permanente 167
$2,898
$164 – $8,445
UnitedHealthcare 1117
$2,899
$300 – $8,154
Aetna 1007
$3,073
$352 – $7,996
SelectHealth 35
$3,642
$536 – $5,307
Healthcare Highways 35
$3,650
$3,041 – $5,524
Oscar Health 167
$4,212
$1,815 – $7,927
Cigna 822
$4,475
$717 – $11,166
EmblemHealth 64
$5,014
$850 – $22,916
AvMed 36
$8,168
$880 – $11,304

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$443
Vermont$686
Montana$855
New Hampshire$863
Maine$887
Kentucky$1,004

Prices by city

Chicago, ILAustin, TXCincinnati, OHDallas, TXFort Worth, TXNew York, NYSacramento, CAHouston, TXPhiladelphia, PAPittsburgh, PABrooklyn, NYCharlotte, NCCleveland, OHKansas City, MOLos Angeles, CAArlington, TXBronx, NYLittle Rock, ARNashville, TNRochester, NYSaint Louis, MOSan Antonio, TXSan Francisco, CAAurora, CO

Prices by state

TexasCaliforniaOhioPennsylvaniaWisconsinFloridaNew YorkIllinoisMinnesotaNorth CarolinaTennesseeMichiganColoradoLouisianaMissouriIowaWashingtonIndianaGeorgiaNew JerseyArizonaVirginiaArkansasMaineKansasNebraskaMassachusettsWest VirginiaMississippiKentuckySouth CarolinaIdahoConnecticutOregonAlabamaUtahOklahomaNew HampshireNevadaNew MexicoSouth DakotaWyomingHawaiiNorth DakotaMontanaPuerto RicoVermontAlaskaRhode IslandMarylandDelaware

Does Medicare cover Pilonidal cyst removal?

Yes — Medicare generally covers Pilonidal cyst removal. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $541. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $108 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

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 1720 US hospitals across 52 states, the typical (median) cash price is $2,938, versus a chargemaster (list) price around $5,620, a median insurer-negotiated rate of $2,948, a Medicare rate of about $541. Most cash prices fall between $666 and $8,683 — 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 1720 US hospitals is $2,938. Most hospitals fall between $666 and $8,683. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Pilonidal cyst removal?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $541). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
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.

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