CPT 10081 Surgery - Integumentary

I&d pilonidal cyst comp Cost

Body System: Integumentary

Medicare Facility Rate
$169
CMS PFS CY2026
Medicare Non-Facility Rate
$380
Office/clinic setting
Hospital Outpatient
$723
OPPS rate
Surgery Center (ASC)
$284
ASC rate

Relative Value Units (RVUs)

Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)

2.44
Work RVU
2.13
Facility PE RVU
0.48
Malpractice RVU
11.38
Total RVU

Frequently Asked Questions

How much does I&d pilonidal cyst comp cost?

The Medicare facility rate is $169. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $723. Ambulatory surgery center rate: $284.

How much does I&d pilonidal cyst comp cost without insurance?

Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $169.

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