How Much Does I&d Pilonidal Cyst Simple Cost?
Also known as: I&d pilonidal cyst simple (CPT 10080)
Simple incision and drainage of a pilonidal cyst (a cyst near the tailbone).
The total estimated cost of I&d Pilonidal Cyst Simple (CPT 10080) is $253 to $410, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $105.
Total Estimated Cost of Care
This estimate includes hospital facility fees, anesthesia, and supplies .
Patient Guide: I&d Pilonidal Cyst Simple
What you need to know before your appointment
What to Expect
The doctor numbs the area and makes an incision to drain the infected cyst near your tailbone. The wound is packed with gauze.
How Long Does It Take?
15-30 minutes
Common Reasons Doctors Order This
Infected pilonidal cyst, painful cyst at the tailbone, pilonidal abscess
How to Prepare
No special preparation. Wound packing will need to be changed. Sit on a pillow after. Keep the area clean.
Procedures Commonly Done Together
These procedures are frequently performed alongside I&d pilonidal cyst simple
How to Reduce Your Cost for I&d pilonidal cyst simple
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
For this procedure, the office rate ($270) differs from the facility rate ($105). Ask if it can be done in an office setting.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (8.07) x CF ($33.40) = $270
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does I&d pilonidal cyst simple cost?
The Medicare facility rate for I&d pilonidal cyst simple is $105. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does I&d pilonidal cyst simple cost without insurance?
Without insurance, the cost of I&d pilonidal cyst simple can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover I&d pilonidal cyst simple?
Most commercial health insurance plans and Medicare cover I&d pilonidal cyst simple when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.