Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Excision Pilonidal Cyst/Sinus Simple
The hospitals that file a Wellmark rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.
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114 hospital rates
| # | Plans | |||
|---|---|---|---|---|
| 1 | ALEGENT HEALTH - MERCY HOSPITAL, CORNING IOWA Corning, IA fee schedule · inpatient | 2 | $607.80 | $607.80 – $607.80 |
| 2 | ALEGENT HEALTH COMMUNITY MEMORIAL HOSPITAL OF MISSOURI VALLEY, IOWA Missouri Valley, IA fee schedule · inpatient | 2 | $577.41 | $577.41 – $577.41 |
| 3 | Allen Memorial Hospital Corporation Waterloo, IA case rate · outpatient | 1 | $2,692 | $2,692 – $2,692 |
| 4 | Allen Memorial Hospital Corporation Waterloo, IA fee schedule · both | 4 | $305.48 | $167.30 – $390.60 |
| 5 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · inpatient | 3 | $151.96 | $80.55 – $195.30 |
| 6 | Catholic Health Initiatives-Iowa Corp Des Moines, IA professional · fee schedule · outpatient | 3 | $151.96 | $80.55 – $195.30 |
| 7 | Central Iowa Hospital Corporation Des Moines, IA case rate · outpatient | 1 | $2,725 | $2,725 – $2,725 |
| 8 | Central Iowa Hospital Corporation Des Moines, IA fee schedule · both | 4 | $305.48 | $167.30 – $390.60 |
| 9 | Central Iowa Hospital Corporation West Des Moines, IA fee schedule · both | 4 | $305.48 | $167.30 – $390.60 |
| 10 | Covenant Medical Center Inc Waterloo, IA facility · fee schedule · outpatient | 2 | $2,968 | $2,968 – $2,968 |
| 11 | Covenant Medical Center Inc Waterloo, IA facility · other · outpatient | 1 | $2,764 | $2,764 – $2,764 |
| 12 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 3 | $151.96 | $80.55 – $195.30 |
| 13 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 3 | $151.96 | $80.55 – $195.30 |
| 14 | Grinnell Regional Medical Center Grinnell, IA case rate · outpatient | 1 | $2,725 | $2,725 – $2,725 |
| 15 | Grinnell Regional Medical Center Grinnell, IA fee schedule · both | 4 | $305.48 | $167.30 – $390.60 |
| 16 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · case rate · outpatient | 2 | $2,993 | $2,853 – $3,133 |
| 17 | Gundersen Palmer Lutheran Hospital and Clinic Inc West Union, IA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $633.45 | $627.30 – $639.60 |
| 18 | HAWARDEN REGIONAL HEALTHCARE HARWARDEN, IA other · outpatient | 2 | $2,227 | $2,227 – $2,227 |
| 19 | Johnson Memorial Hospital Stafford Springs, CT professional · fee schedule · inpatient | 2 | $109.14 | $94.63 – $116.40 |
| 20 | Johnson Memorial Hospital Stafford Springs, CT professional · fee schedule · outpatient | 2 | $109.14 | $94.63 – $116.40 |
| 21 | Mercy Health Hackley Campus Muskogen, MI facility · fee schedule · outpatient | 1 | $3,401 | $3,401 – $3,401 |
| 22 | Mercy Health Saint Marys Rockford, MI facility · fee schedule · outpatient | 1 | $3,455 | $3,455 – $3,455 |
| 23 | Mercy Medical Center-Clinton Inc Clinton, IA facility · fee schedule · outpatient | 2 | $2,968 | $2,968 – $2,968 |
| 24 | Mercy Medical Center-Clinton Inc Clinton, IA facility · other · outpatient | 1 | $3,061 | $3,061 – $3,061 |
| 25 | MercyOne Genesis Aledo Medical Center Aledo, IL facility · case rate · inpatient | 1 | $3,305 | $3,305 – $3,305 |
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