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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: Wrist Ganglion Cyst Removal

1186 hospitals in 80 markets. National Medicare rate $1,643, surgery center $873.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)12$1,856$2,482$3,116$1,052–$7,078
Alaska (statewide)5$2,185$2,389$7,458$1,155–$10,098
Arizona (statewide)9$1,895$2,950$3,418$1,037–$6,047
Arkansas (statewide)10$1,472$1,701$2,134$1,377–$2,534
Atlanta GA6$4,928$4,975$4,975$4,839–$4,975
Austin TX13$1,135$3,224$4,836$1,135–$4,836
Boston MA13$2,271$2,586$2,900$1,478–$3,540
California (statewide)62$2,892$4,722$6,056$1,763–$11,383
Charlotte NC5$1,903$1,903$1,903$1,877–$1,903
Chicago IL8$2,644$4,564$6,692$1,239–$7,295
Cleveland OH11$3,042$3,321$3,973$2,453–$5,597
Colorado (statewide)15$2,654$4,563$5,378$1,086–$9,563
Connecticut (statewide)2———$5,370–$6,700
Dallas-Fort Worth TX14$3,888$5,023$5,381$2,415–$8,086
Delaware (statewide)1———$4,370–$4,370
Denver CO15$2,454$5,054$5,492$1,551–$6,540
Detroit MI15$1,895$2,192$2,468$1,145–$5,812
Florida (statewide)61$3,375$4,452$5,180$899–$8,279
Georgia (statewide)27$2,854$4,442$4,856$1,450–$6,093
Hawaii (statewide)4———$1,992–$6,463
Houston TX19$3,069$3,710$4,250$2,404–$4,252
Idaho (statewide)16$1,578$3,190$4,065$996–$4,870
Illinois (statewide)28$2,390$2,756$4,488$992–$7,295
Indiana (statewide)37$2,210$3,403$6,006$1,413–$11,025
Indianapolis IN2———$6,689–$7,078
Iowa (statewide)30$1,570$2,448$3,171$784–$4,880
Kansas (statewide)25$2,214$2,722$3,810$955–$10,098
Kentucky (statewide)16$2,163$2,828$3,200$1,845–$5,710
Las Vegas NV1———$3,010–$3,010
Los Angeles CA17$4,356$5,204$6,037$2,927–$14,342
Louisiana (statewide)24$1,749$2,498$3,292$1,355–$4,512
Maine (statewide)17$6,558$7,363$7,614$1,703–$9,572
Maryland (statewide)1———$4,484–$4,484
Massachusetts (statewide)6$2,262$2,495$2,722$1,502–$3,487
Miami-Fort Lauderdale FL1———$4,333–$4,333
Michigan (statewide)28$1,829$2,182$2,630$873–$2,980
Minneapolis-St. Paul MN9$3,046$3,699$3,878$1,343–$4,386
Minnesota (statewide)14$3,024$4,008$5,117$831–$7,103
Mississippi (statewide)21$2,345$2,566$2,796$850–$5,387
Missouri (statewide)17$2,860$4,587$6,262$1,290–$6,897
Montana (statewide)6$3,264$3,980$4,661$2,330–$6,181
Nashville TN8$3,119$3,421$3,508$1,869–$3,570
Nebraska (statewide)15$2,458$4,158$4,486$875–$10,363
Nevada (statewide)2———$3,061–$3,192
New Hampshire (statewide)6$5,364$5,430$6,761$2,619–$10,618
New Jersey (statewide)22$2,828$5,582$7,643$1,749–$11,208
New Mexico (statewide)9$2,131$3,168$6,350$1,458–$10,239
New York (statewide)31$1,778$3,087$3,573$1,378–$6,181
New York City8$1,531$3,070$6,516$1,515–$12,245
North Carolina (statewide)6$4,012$4,780$6,073$946–$9,044
North Dakota (statewide)5$2,838$3,672$5,000$2,769–$6,540
Ohio (statewide)42$2,791$3,654$5,380$848–$6,350
Oklahoma (statewide)12$2,091$3,299$4,656$777–$9,936
Oregon (statewide)10$4,099$4,574$5,492$3,611–$7,336
Pennsylvania (statewide)32$2,409$3,494$4,836$1,440–$7,111
Philadelphia PA11$4,420$4,592$6,049$3,888–$11,208
Phoenix AZ8$3,033$3,065$3,153$2,936–$3,418
Pittsburgh PA9$2,210$2,728$3,348$1,886–$4,028
Portland OR9$7,410$9,105$9,105$7,410–$9,689
Rhode Island (statewide)4———$2,159–$7,872
Richmond VA3———$6,342–$7,051
Rio Grande Valley TX7$2,130$2,443$5,613$2,090–$10,710
Salt Lake City UT9$2,001$2,001$2,001$1,463–$2,001
San Antonio TX3———$2,555–$4,773
San Diego CA7$3,516$3,516$3,539$2,957–$3,814
San Francisco Bay Area CA4———$5,245–$16,461
Seattle-Tacoma WA16$4,343$5,378$5,570$3,159–$6,777
South Carolina (statewide)17$2,983$4,945$7,779$1,652–$10,918
South Dakota (statewide)4———$2,491–$3,587
St. Louis MO6$6,188$6,188$6,188$6,188–$8,358
Tampa FL6$5,180$5,180$5,180$2,809–$8,933
Tennessee (statewide)27$2,074$2,226$2,918$1,546–$3,570
Texas (statewide)82$2,240$3,228$5,023$982–$8,220
Utah (statewide)7$1,580$2,001$2,001$1,463–$5,466
Vermont (statewide)2———$4,100–$5,087
Virginia (statewide)20$4,878$5,326$6,002$3,668–$7,268
Washington (statewide)13$3,416$4,253$5,220$1,648–$7,929
Washington DC10$4,737$5,073$5,073$2,881–$5,310
West Virginia (statewide)8$2,604$2,794$5,540$1,776–$10,705
Wisconsin (statewide)43$3,436$5,796$7,250$841–$7,250

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Okeene Municipal HospitalOklahoma (statewide)$7770.5×32026-08-12
Kossuth Regional Health CenterIowa (statewide)$7840.5×22026-07-16
Story County HospitalIowa (statewide)$8210.5×12026-03-30
Ely - Bloomenson Community HospitalMinnesota (statewide)$8310.5×12026-09-01
Edgerton Hospital And Health ServicesWisconsin (statewide)$8410.5×12026-07-19
Selby General HospitalOhio (statewide)$8480.6×12026-10-01
Greene County HospitalMississippi (statewide)$8500.6×12026-06-05
Black River Memorial HospitalWisconsin (statewide)$8630.6×12026-01-08
Helen Newberry Joy HospitalMichigan (statewide)$8730.5×12026-09-02
Bellevue Medical CenterNebraska (statewide)$8750.5×12026-08-10
Baptist HospitalFlorida (statewide)$8990.5×102025-12-23
Jay HospitalFlorida (statewide)$8990.5×82025-12-23
Hoag Memorial Hospital PresbyterianLos Angeles CA$10,6885.2×42026-04-01
Logan Regional Medical CenterWest Virginia (statewide)$10,7056.9×12026-04-01
Cornerstone Regional HospitalRio Grande Valley TX$10,7106.6×52026-09-01
Mcleod Loris HospitalSouth Carolina (statewide)$10,9187.3×12026-07-20
Mcleod Health ClarendonSouth Carolina (statewide)$10,9187.3×12026-07-20
Franciscan Health DyerIndiana (statewide)$11,0256.5×32026-01-01
Inspira Medical Center VinelandNew Jersey (statewide)$11,2086.2×12026-03-24
Inspira Medical Center Mullica HillPhiladelphia PA$11,2086.2×12026-03-24
Mission Community HospitalCalifornia (statewide)$11,3835.5×22026-09-01
Hospital for Special SurgeryNew York City$12,2456.1×142026-04-01
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

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

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

Across 1186 hospitals in 80 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 25111, hospital outpatient is $3,570, 2.2× the same hospital's local Medicare base rate. The middle half of hospitals runs $2,330 to $5,223. 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: Okeene Municipal Hospital ($777), Kossuth Regional Health Center ($784), Story County Hospital ($821). Highest: Stanford Health Care ($16,461), Cedars-Sinai Medical Center ($14,342), Hospital for Special Surgery ($12,245). Coverage: every hospital whose price file we could read.