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Wrist ganglion cyst removal: what insurers pay

Excision of a ganglion cyst from the wrist. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 25111: Remove Wrist Tendon Lesion

92 hospitals in 32 markets. National Medicare rate $1,643, surgery center $873.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$4,975–$4,975
Austin TX2———$1,135–$4,863
Boston MA7$2,272$2,318$2,407$2,106–$3,148
California (statewide)1———$9,774–$9,774
Chicago IL6$2,345$3,143$5,100$1,239–$6,491
Cleveland OH5$5,318$5,504$5,512$2,890–$6,514
Dallas-Fort Worth TX4———$4,302–$6,794
Denver CO7$2,904$4,410$4,596$2,452–$4,762
Detroit MI5$2,192$2,192$2,767$2,192–$3,349
Georgia (statewide)1———$5,051–$5,051
Houston TX1———$4,004–$4,004
Indianapolis IN1———$7,078–$7,078
Kansas (statewide)1———$5,262–$5,262
Las Vegas NV1———$2,536–$2,536
Los Angeles CA2———$7,041–$14,342
Miami-Fort Lauderdale FL1———$5,678–$5,678
Minneapolis-St. Paul MN1———$1,606–$1,606
Nashville TN4———$1,758–$3,603
New York City3———$4,600–$10,830
Ohio (statewide)1———$3,174–$3,174
Philadelphia PA5$4,642$7,409$9,172$4,420–$11,208
Phoenix AZ3———$3,065–$3,418
Portland OR6$9,203$10,273$10,273$8,846–$10,273
Richmond VA2———$6,342–$6,342
San Antonio TX1———$3,695–$3,695
San Diego CA1———$2,068–$2,068
San Francisco Bay Area CA1———$16,461–$16,461
Seattle-Tacoma WA6$5,702$5,780$5,967$4,614–$6,323
St. Louis MO4———$6,730–$8,630
Tampa FL2———$3,812–$5,180
Washington DC5$4,156$4,164$4,850$3,396–$5,689
Wisconsin (statewide)1———$4,744–$4,744
HospitalMarketMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center AustinAustin TX$1,1350.7×22026-01-01
Loyola University Medical CenterChicago IL$1,2390.7×12026-03-31
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$1,6060.9×32026-03-31
Vanderbilt University Medical CenterNashville TN$1,7581.1×72025-10-01
Ascension Saint Thomas RutherfordNashville TN$1,8691.2×12026-01-01
Scripps Green HospitalSan Diego CA$2,0681.0×12026-03-30
Winchester HospitalBoston MA$2,1061.1×32026-04-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$2,1921.4×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$2,1921.4×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$2,1921.4×12026-05-01
Endeavor Health Northwest Community HospitalChicago IL$2,1951.3×32026-04-01
Anna Jaques HospitalBoston MA$2,2711.2×42026-04-01
New England Baptist HospitalBoston MA$2,2741.2×42026-04-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$2,3181.2×22026-04-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$2,3481.2×22026-04-01
Adventhealth PorterDenver CO$2,4521.4×42026-04-01
Adventhealth ParkerDenver CO$2,4521.4×42026-04-01
Beverly Hospital CorporationBoston MA$2,4661.3×42026-04-01
University Medical Center of Southern NevadaLas Vegas NV$2,5361.5×72026-07-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$2,5821.7×22026-01-01
Henry Ford Health Rochester HospitalDetroit MI$2,7671.7×12026-01-01
Endeavor Health Edward HospitalChicago IL$2,7941.6×22026-04-01
University Hospitals - Elyria Medical CenterCleveland OH$2,8901.9×42026-07-14
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$3,0651.8×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$3,0651.8×52026-04-01
Beth Israel Deaconess Medical CenterBoston MA$3,1481.6×22026-04-01
Bethesda NorthOhio (statewide)$3,1742.0×42026-04-01
Harper University HospitalDetroit MI$3,3492.1×22026-09-02
UCHealth University of Colorado HospitalDenver CO$3,3562.0×32025-11-01
Medstar Georgetown University HospitalWashington DC$3,3961.8×42026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$3,4182.0×42026-04-01
Endeavor Health Elmhurst HospitalChicago IL$3,4922.0×22026-04-01
TriStar StoneCrest Medical CenterNashville TN$3,6032.3×52026-09-01
Methodist HospitalSan Antonio TX$3,6952.3×52026-09-01
Tampa General HospitalTampa FL$3,8122.3×32026-04-01
Houston Methodist HospitalHouston TX$4,0042.5×62026-04-01
Reston Hospital CenterWashington DC$4,1562.5×42026-09-01
Stonesprings Hospital CenterWashington DC$4,1642.5×42026-09-01
Baylor University Medical CenterDallas-Fort Worth TX$4,3022.7×32026-06-29
HCA HealthONE SwedishDenver CO$4,4102.6×42026-09-01
Riddle Memorial HospitalPhiladelphia PA$4,4202.7×22026-04-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$4,5582.7×42026-09-01
Montefiore Medical CenterNew York City$4,6002.3×92026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$4,6142.5×52026-04-01
HCA HealthONE Sky RidgeDenver CO$4,6332.7×42026-09-01
Bryn Mawr HospitalPhiladelphia PA$4,6422.8×22026-04-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$4,7443.0×32026-01-01
Hca Healthone RoseDenver CO$4,7622.8×42026-09-01
Medstar Washington Hospital CenterWashington DC$4,8502.5×52026-04-01
St David's Medical CenterAustin TX$4,8633.0×52026-09-01
Emory University HospitalAtlanta GA$4,9753.1×62026-04-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$5,0513.6×32026-04-01
Morton Plant HospitalTampa FL$5,1803.1×22026-01-01
Menorah Medical CenterKansas (statewide)$5,2623.5×52026-09-01
Cleveland Clinic Hillcrest HospitalCleveland OH$5,3183.5×22026-06-15
Medina HospitalCleveland OH$5,5043.6×32026-06-15
Cleveland Clinic Lutheran HospitalCleveland OH$5,5123.6×22026-06-15
Endeavor Health Evanston HospitalChicago IL$5,6363.3×32026-04-01
Medical City PlanoDallas-Fort Worth TX$5,6403.5×52026-09-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$5,6783.4×12026-06-15
Inova Alexandria HospitalWashington DC$5,6893.4×52026-04-01
St Clare HospitalSeattle-Tacoma WA$5,7023.0×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$5,7023.0×62026-02-28
Swedish Medical CenterSeattle-Tacoma WA$5,8573.1×52026-04-01
Tacoma General Allenmore HospitalSeattle-Tacoma WA$6,0043.2×72026-08-27
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$6,2283.9×22026-04-21
Multicare Good Samaritan HospitalSeattle-Tacoma WA$6,3233.4×62026-08-27
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$6,3424.0×42026-09-01
Henrico Doctors' HospitalRichmond VA$6,3424.0×42026-09-01
University of Chicago Medical CenterChicago IL$6,4913.8×22026-04-01
Cleveland Clinic (main campus)Cleveland OH$6,5144.3×22026-06-16
Missouri Baptist Medical CenterSt. Louis MO$6,7304.2×42025-12-15
Barnes-Jewish West County HospitalSt. Louis MO$6,7304.2×42025-12-15
Barnes-Jewish St Peters HospitalSt. Louis MO$6,7304.2×42025-12-15
Medical City MckinneyDallas-Fort Worth TX$6,7944.2×52026-09-01
Keck Hospital Of UscLos Angeles CA$7,0413.4×52026-04-01
Riverview HealthIndianapolis IN$7,0784.2×22026-04-01
Jefferson Stratford HospitalPhiladelphia PA$7,4094.1×32026-09-15
Barnes Jewish HospitalSt. Louis MO$8,6305.4×42025-12-15
Providence St Vincent Medical CenterPortland OR$8,8465.0×22026-04-01
Providence Portland Medical CenterPortland OR$8,8465.0×22026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$9,0254.5×72026-01-01
Thomas Jefferson University HospitalPhiladelphia PA$9,1725.5×32026-09-15
Los Robles Hospital & Medical CenterCalifornia (statewide)$9,7744.7×42026-09-01
Legacy Emanuel Medical CenterPortland OR$10,2735.8×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$10,2735.8×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$10,2735.8×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$10,2735.8×52026-04-01
Hospital for Special SurgeryNew York City$10,8305.4×62026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$11,2086.2×12026-03-24
Cedars-Sinai Medical CenterLos Angeles CA$14,3426.9×12025-11-26
Stanford Health CareSan Francisco Bay Area CA$16,4617.0×12026-04-01

Questions

How much do commercial insurers pay hospitals for wrist ganglion cyst removal?

Across 92 hospitals in 32 metro areas that post a usable dollar rate, the median commercial rate for CPT 25111, hospital outpatient is $4,693, 2.8× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,021 to $6,379. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for wrist ganglion cyst removal?

Medicare's national hospital outpatient rate for CPT 25111 is $1,643 and its surgery-center rate is $873, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for wrist ganglion cyst removal?

Lowest medians: Ascension Seton Medical Center Austin ($1,135), Loyola University Medical Center ($1,239), Park Nicollet Methodist Hospital ($1,606). Highest: Stanford Health Care ($16,461), Cedars-Sinai Medical Center ($14,342), Inspira Medical Center Mullica Hill ($11,208). Coverage is limited to the markets listed on this page.