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Pilonidal cyst removal: what insurers pay

Excision of a pilonidal cyst or sinus at the tailbone. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 11770: Pilonidal Cyst Removal

1193 hospitals in 79 markets. National Medicare rate $2,968, surgery center $1,248.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)15$2,354$3,068$3,784$1,565–$8,718
Alaska (statewide)3———$2,754–$13,744
Arizona (statewide)8$3,233$3,644$4,352$1,766–$6,047
Arkansas (statewide)11$2,454$2,730$3,046$1,882–$4,000
Atlanta GA6$5,324$5,324$5,688$5,324–$5,809
Austin TX13$2,226$4,412$4,836$2,226–$5,242
Boston MA15$3,212$4,518$5,114$2,430–$7,404
California (statewide)62$4,771$8,021$10,830$2,133–$12,858
Charlotte NC5$3,403$3,403$3,403$3,356–$3,403
Chicago IL7$4,660$5,908$7,292$3,751–$7,295
Cleveland OH11$3,938$4,420$5,446$3,252–$6,481
Colorado (statewide)14$4,464$5,202$6,924$1,576–$9,563
Columbus OH1———$10,448–$10,448
Connecticut (statewide)3———$3,804–$12,102
Dallas-Fort Worth TX11$5,126$5,913$6,632$4,576–$10,001
Denver CO15$3,816$5,492$5,936$3,185–$7,200
Detroit MI17$2,744$3,050$3,591$1,475–$5,812
Florida (statewide)58$5,432$6,188$7,336$1,523–$9,818
Georgia (statewide)32$3,156$5,362$5,809$2,228–$17,296
Hawaii (statewide)5$3,732$6,463$6,743$3,562–$7,280
Houston TX19$4,184$4,250$4,284$3,780–$5,544
Idaho (statewide)16$2,978$6,047$7,270$2,583–$10,411
Illinois (statewide)33$3,559$4,823$6,805$1,821–$8,503
Indiana (statewide)29$3,799$6,139$13,274$1,905–$20,580
Indianapolis IN1———$8,718–$8,718
Iowa (statewide)24$2,939$4,072$5,785$2,227–$8,815
Kansas (statewide)21$1,715$2,252$3,810$1,613–$13,744
Kentucky (statewide)16$3,242$3,636$4,226$1,845–$5,710
Las Vegas NV2———$2,570–$3,010
Los Angeles CA18$5,219$5,989$8,153$4,514–$20,636
Louisiana (statewide)21$2,679$3,167$4,043$1,743–$9,240
Maine (statewide)17$11,727$13,167$13,615$3,076–$17,118
Massachusetts (statewide)7$3,176$4,096$4,512$2,503–$4,960
Miami-Fort Lauderdale FL1———$5,344–$5,344
Michigan (statewide)28$2,894$3,274$3,872$1,624–$5,606
Minneapolis-St. Paul MN9$4,402$4,402$4,884$3,759–$5,626
Minnesota (statewide)12$4,402$7,592$8,876$3,498–$10,505
Mississippi (statewide)17$3,824$4,096$4,600$2,181–$7,922
Missouri (statewide)18$4,306$4,980$6,283$3,137–$6,897
Montana (statewide)6$5,732$6,096$7,777$1,715–$8,429
Nashville TN8$3,262$3,529$3,582$1,869–$3,742
Nebraska (statewide)13$5,035$8,458$8,645$2,570–$18,020
Nevada (statewide)5$2,444$2,570$5,289$2,444–$7,180
New Hampshire (statewide)6$8,742$9,826$11,003$2,760–$13,007
New Jersey (statewide)22$3,834$5,927$7,643$3,321–$11,208
New Mexico (statewide)8$4,475$6,279$9,756$1,892–$10,878
New York (statewide)36$3,954$5,576$6,631$2,488–$9,954
New York City8$3,941$3,968$6,612$3,896–$10,955
North Carolina (statewide)9$5,298$6,331$7,194$2,181–$9,044
North Dakota (statewide)5$5,018$5,176$6,492$4,951–$7,705
Ohio (statewide)41$4,420$5,935$8,040$1,473–$11,165
Oklahoma (statewide)10$5,012$5,932$6,771$3,356–$10,346
Oregon (statewide)11$6,926$8,058$9,746$3,179–$12,956
Pennsylvania (statewide)46$3,729$6,413$8,416$2,022–$13,362
Philadelphia PA11$4,617$4,689$6,462$4,096–$11,208
Phoenix AZ8$3,298$3,594$3,770$2,936–$3,770
Pittsburgh PA12$2,810$4,504$5,344$1,930–$7,204
Portland OR9$10,273$10,273$11,960$9,711–$11,960
Research Triangle NC1———$2,675–$2,675
Rhode Island (statewide)5$3,900$5,517$6,757$3,891–$7,970
Richmond VA3———$6,380–$7,051
Rio Grande Valley TX5$3,920$4,376$5,613$3,775–$5,613
Salt Lake City UT9$2,712$2,804$2,804$2,587–$2,897
San Antonio TX3———$3,634–$4,920
San Diego CA7$6,351$6,351$6,392$5,342–$6,889
San Francisco Bay Area CA4———$6,682–$22,041
Seattle-Tacoma WA16$8,052$8,242$10,039$7,375–$11,288
South Carolina (statewide)25$8,102$9,391$12,760$3,746–$14,603
South Dakota (statewide)6$3,240$3,350$3,506$3,170–$13,882
St. Louis MO7$6,188$6,188$6,188$3,234–$8,358
Tampa FL6$8,481$8,481$8,481$3,812–$10,426
Tennessee (statewide)29$2,767$2,964$3,622$1,469–$6,031
Texas (statewide)77$3,574$4,467$5,174$1,870–$20,580
Utah (statewide)6$2,596$2,668$2,712$2,587–$2,804
Virginia (statewide)18$7,208$8,586$9,790$2,834–$11,488
Washington (statewide)15$6,600$8,354$8,774$2,927–$15,304
Washington DC10$5,265$5,822$5,822$3,603–$6,372
West Virginia (statewide)10$4,410$4,872$8,392$3,177–$19,338
Wisconsin (statewide)36$6,037$7,250$7,266$1,958–$10,731

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Hancock County HospitalTennessee (statewide)$1,4690.6×22026-09-25
Akron Children'S HospitalOhio (statewide)$1,4730.5×12025-11-11
Henry Ford Health -St John HospitalDetroit MI$1,4750.5×22026-01-01
Northwest Florida Community HospitalFlorida (statewide)$1,5230.5×12026-05-19
North Alabama Shoals HospitalAlabama (statewide)$1,5650.6×22026-07-23
Mt San Rafael HospitalColorado (statewide)$1,5760.5×32026-07-23
Hamilton County HospitalKansas (statewide)$1,6130.6×12026-05-28
Oaklawn HospitalMichigan (statewide)$1,6240.6×22026-03-27
Medicine Lodge Memorial HospitalKansas (statewide)$1,6290.6×12026-08-05
Amberwell HiawathaKansas (statewide)$1,6290.6×12026-08-18
Gove County Medical CenterKansas (statewide)$1,6290.6×12026-08-14
North Alabama Medical CenterAlabama (statewide)$1,6830.7×12026-07-23
Northeast Georgia Medical Center, IncGeorgia (statewide)$17,2966.2×22026-04-01
Northeast Georgia Medical Center HabershamGeorgia (statewide)$17,2966.8×22026-04-01
Northeast Georgia Medical Center BarrowGeorgia (statewide)$17,2965.9×22026-04-01
Northeast Georgia Medical Center LumpkinGeorgia (statewide)$17,2965.9×22026-04-01
Chi Health St FrancisNebraska (statewide)$18,0206.0×62026-02-28
Parkview Lagrange HospitalIndiana (statewide)$18,5636.0×12026-09-01
Logan Regional Medical CenterWest Virginia (statewide)$19,3386.9×12026-04-01
Parkview Wabash Hospital, IncIndiana (statewide)$20,3686.6×12026-09-01
Parkview Regional Medical CenterIndiana (statewide)$20,5806.7×12026-09-01
Parkview HospitalTexas (statewide)$20,5807.0×12026-09-01
Cedars-Sinai Medical CenterLos Angeles CA$20,6365.5×32025-11-26
Stanford Health CareSan Francisco Bay Area CA$22,0415.2×32026-04-01

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

CPT 11771: Pilonidal Cyst Removal

1183 hospitals in 79 markets. National Medicare rate $2,968, surgery center $1,248.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)14$2,677$3,170$3,882$2,409–$8,718
Alaska (statewide)4———$4,104–$15,112
Arizona (statewide)9$3,418$4,314$5,331$1,766–$6,732
Arkansas (statewide)10$2,382$2,609$2,730$1,882–$3,956
Atlanta GA6$5,324$5,324$5,688$5,324–$5,809
Austin TX13$2,226$4,412$4,836$2,226–$5,242
Boston MA11$4,130$4,561$5,114$2,720–$5,976
California (statewide)62$4,836$8,445$10,830$2,133–$12,858
Charlotte NC5$3,403$3,403$3,403$3,356–$3,403
Chicago IL8$4,171$5,322$7,291$1,612–$7,295
Cleveland OH11$3,098$3,902$4,665$2,453–$5,918
Colorado (statewide)15$3,794$5,270$5,994$1,576–$9,563
Connecticut (statewide)2———$5,370–$12,102
Dallas-Fort Worth TX12$5,177$5,572$6,610$4,576–$10,001
Denver CO15$3,552$5,270$5,908$3,185–$7,200
Detroit MI14$2,744$2,744$3,514$1,475–$6,875
Florida (statewide)58$5,432$6,280$7,468$1,523–$13,397
Georgia (statewide)31$3,122$5,324$5,809$2,228–$17,296
Hawaii (statewide)2———$3,562–$4,456
Houston TX19$4,184$4,250$4,284$3,780–$5,544
Idaho (statewide)14$2,950$5,828$7,270$1,526–$8,609
Illinois (statewide)28$3,559$4,490$6,805$2,600–$8,503
Indiana (statewide)37$3,799$6,510$10,850$1,640–$20,580
Indianapolis IN2———$8,718–$12,083
Iowa (statewide)23$4,031$4,468$5,413$1,466–$8,815
Kansas (statewide)20$3,134$3,876$5,524$1,448–$15,112
Kentucky (statewide)16$3,418$3,886$4,226$1,845–$5,710
Las Vegas NV2———$2,570–$3,010
Los Angeles CA17$5,214$6,161$8,208$4,514–$20,636
Louisiana (statewide)23$2,702$3,167$4,032$1,743–$9,240
Maine (statewide)17$11,727$13,167$13,615$3,076–$17,118
Maryland (statewide)1———$1,471–$1,471
Massachusetts (statewide)6$2,901$3,448$3,935$2,503–$4,198
Miami-Fort Lauderdale FL1———$5,191–$5,191
Michigan (statewide)28$2,894$3,528$3,852$1,624–$5,606
Minneapolis-St. Paul MN7$4,344$4,389$4,454$2,740–$5,356
Minnesota (statewide)12$4,389$7,592$8,876$3,498–$10,505
Mississippi (statewide)17$3,760$4,096$4,589$1,640–$7,922
Missouri (statewide)20$4,370$4,980$6,269$2,219–$6,897
Montana (statewide)6$6,053$6,376$7,874$5,640–$8,429
Nashville TN8$1,928$3,035$3,508$1,726–$3,570
Nebraska (statewide)16$4,526$6,484$8,645$1,683–$18,020
Nevada (statewide)6$2,476$4,050$5,766$2,444–$7,180
New Hampshire (statewide)6$8,742$9,826$11,003$7,121–$13,007
New Jersey (statewide)22$3,879$6,309$7,690$3,321–$11,208
New Mexico (statewide)8$6,330$9,718$11,238$3,020–$12,707
New York (statewide)35$3,387$4,498$6,206$1,955–$9,954
New York City7$3,387$3,387$6,384$3,387–$8,726
North Carolina (statewide)7$4,613$6,331$7,448$3,844–$9,044
North Dakota (statewide)5$5,018$5,176$6,492$4,951–$7,705
Ohio (statewide)40$3,023$6,102$8,256$1,872–$11,165
Oklahoma (statewide)9$5,438$5,932$6,886$1,876–$10,346
Oregon (statewide)10$7,329$8,432$9,995$5,972–$12,956
Pennsylvania (statewide)44$3,819$6,452$9,570$2,022–$13,362
Philadelphia PA11$4,617$4,689$6,462$4,096–$11,208
Phoenix AZ8$3,033$3,065$3,153$2,936–$3,418
Pittsburgh PA8$3,803$5,110$5,926$1,931–$7,204
Portland OR9$10,273$10,273$11,960$9,711–$11,960
Research Triangle NC1———$2,675–$2,675
Rhode Island (statewide)5$3,900$5,517$6,757$3,891–$7,970
Richmond VA3———$6,380–$7,051
Rio Grande Valley TX6$3,775$3,848$5,190$3,708–$5,613
Salt Lake City UT9$2,220$2,220$2,241$2,220–$2,256
San Antonio TX3———$3,634–$4,920
San Diego CA7$6,351$6,351$6,392$5,342–$6,889
San Francisco Bay Area CA6$5,131$6,841$8,245$4,614–$22,041
Seattle-Tacoma WA16$8,052$8,242$10,039$7,375–$11,288
South Carolina (statewide)22$6,251$9,522$13,304$1,418–$14,603
South Dakota (statewide)5$3,229$3,532$5,476$3,170–$13,882
St. Louis MO6$6,188$6,188$6,188$3,234–$8,358
Tampa FL6$8,481$8,481$8,481$3,812–$10,426
Tennessee (statewide)30$2,756$2,964$3,550$1,462–$5,787
Texas (statewide)76$3,629$4,496$5,068$2,035–$20,580
Utah (statewide)7$2,158$2,587$2,594$2,097–$9,842
Virginia (statewide)21$7,208$8,514$9,627$2,834–$11,488
Washington (statewide)14$7,139$8,367$8,811$2,927–$15,304
Washington DC10$5,232$5,689$5,689$3,886–$6,372
West Virginia (statewide)9$4,015$4,892$9,442$2,397–$19,338
Wisconsin (statewide)44$5,913$7,176$7,250$1,560–$10,731

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Prisma Health Laurens County HospitalSouth Carolina (statewide)$1,4180.5×12026-03-01
Mcpherson Hospital IncKansas (statewide)$1,4480.5×32026-06-08
Vanderbilt Bedford HospitalTennessee (statewide)$1,4620.6×42025-10-01
Vanderbilt Tullahoma-Harton HospitalTennessee (statewide)$1,4620.6×42025-10-01
Clarinda Regional Health CenterIowa (statewide)$1,4660.5×12026-07-13
Atlantic General HospitalMaryland (statewide)$1,4710.5×12026-04-10
Henry Ford Health -St John HospitalDetroit MI$1,4750.5×22026-01-01
Northwest Florida Community HospitalFlorida (statewide)$1,5230.5×12026-05-19
North Canyon Medical CenterIdaho (statewide)$1,5260.5×52026-04-13
Tomah Memorial HospitalWisconsin (statewide)$1,5600.6×22026-06-30
Mt San Rafael HospitalColorado (statewide)$1,5760.5×32026-07-23
Loyola University Medical CenterChicago IL$1,6120.5×12026-03-31
Northeast Georgia Medical Center, IncGeorgia (statewide)$17,2966.2×22026-04-01
Northeast Georgia Medical Center HabershamGeorgia (statewide)$17,2966.8×22026-04-01
Northeast Georgia Medical Center BarrowGeorgia (statewide)$17,2965.9×22026-04-01
Northeast Georgia Medical Center LumpkinGeorgia (statewide)$17,2965.9×22026-04-01
Chi Health St FrancisNebraska (statewide)$18,0206.0×62026-02-28
Parkview Lagrange HospitalIndiana (statewide)$18,5636.0×12026-09-01
Logan Regional Medical CenterWest Virginia (statewide)$19,3386.9×12026-04-01
Parkview Wabash Hospital, IncIndiana (statewide)$20,3686.6×12026-09-01
Parkview Regional Medical CenterIndiana (statewide)$20,5806.7×12026-09-01
Parkview HospitalTexas (statewide)$20,5807.0×12026-09-01
Cedars-Sinai Medical CenterLos Angeles CA$20,6365.5×32025-11-26
Stanford Health CareSan Francisco Bay Area CA$22,0415.2×32026-04-01

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 pilonidal cyst removal?

Across 1193 hospitals in 79 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 11770, hospital outpatient is $5,080, 1.7× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,570 to $7,250. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for pilonidal cyst removal?

Medicare's national hospital outpatient rate for CPT 11770 is $2,968 and its surgery-center rate is $1,248, before local wage adjustment.

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

Lowest medians: Hancock County Hospital ($1,469), Akron Children'S Hospital ($1,473), Henry Ford Health -St John Hospital ($1,475). Highest: Stanford Health Care ($22,041), Cedars-Sinai Medical Center ($20,636), Parkview Hospital ($20,580). Coverage: every hospital whose price file we could read.