Price Checker / CPT 10080

How much does I&d Pilonidal Cyst Simple cost?

CPT 10080 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 11x the fair price — among the most extreme markups. Dispute this.

Fair price

$660–$780

What this should cost

With insurance

~$2,200

Typical out-of-pocket

Overcharged if over

$980

Push back above this

The average hospital charge of $8,220 is $7,500 over the fair price (about 11x the fair rate).

What hospitals charge for I&d Pilonidal Cyst Simple

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
Ashley Regional Medical Center

VERNAL, UT

$20,4537488%
23330 Emergency Center, LLC d/b/a/ Elite Hospital Kingwood

Kingwood, TX

$3,4371175%
Aspire Health Partners, Inc

Orlando, FL

$77074%

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About I&d Pilonidal Cyst Simple

CPT code 10080 refers to i&d pilonidal cyst simple (billing description: "I&d pilonidal cyst simple"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $105 in a facility (hospital or surgery center) and $270 in a doctor's office.

The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.

What to do if you were overcharged

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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