Cost Guide 10081 · Surgery

How much does Incision and drainage pilonidal cyst complicated cost?

Medicare pays $169.

By Elena Vasquez , Medical Billing Research Lead · Published March 15, 2026 · Updated April 3, 2026

Data from CMS files published FY 2024 CMS IPPS. Refreshed weekly.

About the analyst

Elena Vasquez leads hospital billing pattern analysis at BillRazor Research. She focuses on identifying overcharges, markup outliers, and patient advocacy strategies. Expertise: hospital billing patterns, overcharge analysis, patient advocacy.

4 care settings compared

CMS Medicare benchmark data

Updated 2026-04-03

Already have a bill?

Enter the amount charged for Incision and drainage pilonidal cyst complicated to see how it compares.

No credit card required. Results in 60 seconds.

Medicare benchmark: $170 · Average charge: $704 · Scan your bill

$704

Above average

Average hospital charge vs. benchmarks: $170 (Medicare rate) · $704 (Average charge)

$170

Medicare rate

$232

ASC rate

$704

Avg hospital charge

$534

Price spread

Rate comparison — Incision and drainage pilonidal cyst complicated

Research suggests 49–80% of hospital bills contain errors. Our system checks every line item against Medicare benchmarks.

Cost by care setting

Setting	Medicare rate	Description
Hospital outpatient (facility)	$170	Medicare rate when performed in a hospital outpatient department
Physician office (non-facility)	$99	Medicare rate when performed in a physician office
Ambulatory surgery center	$232	Medicare ASC rate — often significantly cheaper than hospital
Hospital outpatient (APC)	$704	Hospital outpatient prospective payment rate

What affects the cost?

Surgeon fees (typically billed separately from facility)
Anesthesia (varies by duration — general costs more than local)
Facility fee (hospital outpatient vs ASC can differ 2–5x)
Pre-operative labs and imaging
Post-operative follow-up visits

How to save on Incision and drainage pilonidal cyst complicated

1 Ask for an ASC (ambulatory surgery center) option — often 40–60% cheaper than hospital outpatient
2 Request a written cost estimate before scheduling
3 Verify that all providers (surgeon, anesthesiologist, pathologist) are in-network
4 Ask about bundled pricing that includes facility, surgeon, and anesthesia

Rates shown are from the 2026 Medicare Physician Fee Schedule and CMS IPPS. BillRazor compares your bill against these data sources. See how it works →

FAQ — Incision and drainage pilonidal cyst complicated cost

What is a fair price for I&d pilonidal cyst comp?

Medicare pays $169 for I&d pilonidal cyst comp (10081). This is the government benchmark rate. A fair price for commercially insured or cash-pay patients is typically 1.2–2.5x the Medicare rate, or roughly $203–$423.

How can I lower my cost for I&d pilonidal cyst comp?

To lower your cost: (1) Compare prices at multiple facilities — use the comparison data on this page. (2) Ask about ASC (surgery center) options, which are often 40–60% cheaper. (3) Request cash-pay pricing upfront. (4) After receiving a bill, review each line item against Medicare benchmarks. Research suggests 49–80% of hospital bills contain errors.

Related pricing data

Incision and drainage pilonidal cyst complicated — Medicare rate detailsFull Medicare rate breakdown by setting and locality

More Surgery procedure costs

Dealing with a Incision and drainage pilonidal cyst complicated bill?

Free guides to help you take action

How to Negotiate a Hospital BillStep-by-step scripts and strategies to reduce your bill by 30-70%.

How to Get an Itemized Bill40-80% of medical bills contain errors. Here's how to find them.

Can't Afford Your Hospital Bill?From billing errors to financial assistance — your complete action plan.

Surprise ER Bill: What to DoFacility fees, balance billing, and your rights.

Data: Federal physician fee schedules, hospital payment data, surgery center rates, lab fee schedules, and drug pricing data. FY 2024. All publicly available from federal sources.

Methodology: Rates shown are national Medicare reimbursement rates by care setting. Price ranges reflect variation across hospitals reporting the same procedure code. Metro prices are averaged from hospital-level chargemaster data reported to CMS.

This information is for educational purposes only and is not medical, financial, or legal advice. Actual costs depend on your insurance and provider. We recommend verifying costs directly with your provider. Full methodology · Terms of use