CPT 11771 Surgery - Integumentary

How Much Does Excision Pilonidal Cyst Xtnsv Cost?

Also known as: Exc pilonidal cyst xtnsv (CPT 11771)

Extensive excision of a pilonidal cyst requiring more complex surgery.

The total estimated cost of Excision Pilonidal Cyst Xtnsv (CPT 11771) is $1,113 to $1,809, including hospital fees, anesthesia, and supplies. The surgeon's Medicare fee alone is $442.

Total Estimated Cost of Care

$1,113 — $1,809

This estimate includes hospital facility fees, anesthesia, and supplies .

Surgeon/Physician Fee
$442
Hospital Facility Fee
$884
Anesthesia (est.)
$66
Important: The physician fee of $442 shown in the cost cards below is what Medicare pays the surgeon/doctor only. The hospital charges a separate facility fee that typically makes up 70-85% of the total cost.
Medicare Physician Fee (Facility Setting)
$442
Physician component only — CMS PFS 2026
Medicare Physician Fee (Office/Clinic)
$692
Non-facility setting

Patient Guide: Excision Pilonidal Cyst Xtnsv

What you need to know before your appointment

What to Expect

A more extensive procedure to remove a complex pilonidal cyst with multiple sinus tracts, possibly requiring tissue flap closure.

How Long Does It Take?

45-90 minutes

Common Reasons Doctors Order This

Complex or recurrent pilonidal disease, extensive sinus tracts

How to Prepare

Fast before anesthesia. This may require a longer recovery period than simple excision.

Procedures Commonly Done Together

These procedures are frequently performed alongside Exc pilonidal cyst xtnsv

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How to Reduce Your Cost for Exc pilonidal cyst xtnsv

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 ($692) differs from the facility rate ($442). 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.

5.94
Work RVU
5.86
Practice Expense RVU
1.43
Malpractice RVU
20.73
Total RVU

Payment = Total RVU (20.73) x CF ($33.40) = $692

Frequently Asked Questions

How much does Exc pilonidal cyst xtnsv cost?

The Medicare facility rate for Exc pilonidal cyst xtnsv is $442. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).

How much does Exc pilonidal cyst xtnsv cost without insurance?

Without insurance, the cost of Exc pilonidal cyst xtnsv 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 Exc pilonidal cyst xtnsv?

Most commercial health insurance plans and Medicare cover Exc pilonidal cyst xtnsv 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.

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