Drainage of pilonidal cyst at Champlain Valley Physicians Hospital Medical Center

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.

Generation details were not recorded for this description.

Original text from hospital filings

PR INCISION & DRAINAGE PILONIDAL CYST COMPLICATED

Plattsburgh, NY

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How this price compares nationally

Champlain Valley Physicians Hospital Medical Center’s median price of $551 is 38% below the median hospital's median price ($895), higher than 17% of the 2,178 hospitals reporting CPT 10081. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 10081 at Champlain Valley Physicians Hospital Medical Center

Negotiated rates from the hospital’s own file: 7 payers, 38 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Aetna medicare advantage professional · fee schedule · both	$159.62	$159.62	$159.62 – $159.62
2	Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both	$159.62	$159.62	$159.62 – $159.62
3	Blue Cross Blue Shield medicare advantage professional · fee schedule · both	$159.62	$159.62	$159.62 – $159.62
4	Excellus medicare advantage professional · fee schedule · both	$159.62	$159.62	$159.62 – $159.62
5	Humana tricare professional · fee schedule · both	$159.62	$159.62	$159.62 – $159.62
6	Blue Cross Blue Shield essential plans/managed medicaid professional · fee schedule · both	$191.54	$191.54	$191.54 – $191.54
7	Excellus managed medicaid/essential plans professional · fee schedule · both	$211.49	$211.49	$211.49 – $211.49
8	UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both	$218.74	$218.74	$218.74 – $218.74
9	UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both	$232.82	$232.82	$213.94 – $251.70
10	Blue Cross Blue Shield blue access professional · fee schedule · both	$239.24	$239.24	$239.24 – $239.24
11	Aetna commercial professional · fee schedule · both	$244.22	$244.22	$244.22 – $244.22
12	Blue Cross Blue Shield hmo professional · fee schedule · both	$253.31	$253.31	$253.31 – $253.31
13	Blue Cross Blue Shield individual network professional · fee schedule · both	$255.39	$255.39	$255.39 – $255.39
14	Blue Cross Blue Shield ind professional · fee schedule · both	$267.39	$267.39	$267.39 – $267.39
15	Blue Cross Blue Shield ppo professional · fee schedule · both	$281.46	$281.46	$281.46 – $281.46
16	UnitedHealthcare medicare advantage professional · fee schedule · both	$312.49	$312.49	$312.49 – $312.49
17	Highmark ind/fep professional · fee schedule · both	$352.93	$352.93	$352.93 – $352.93
18	Highmark ppo/hmo professional · fee schedule · both	$352.93	$352.93	$352.93 – $352.93
19	Excellus commercial professional · fee schedule · both	$409.76	$409.76	$409.76 – $409.76
20	Excellus managed medicaid/essential plans facility · fee schedule · outpatient	$442.64	$442.64	$442.64 – $442.64
21	UnitedHealthcare commercial professional · fee schedule · both	$774.90	$774.90	$774.90 – $774.90
22	Excellus medicare advantage facility · fee schedule · outpatient	$812.72	$812.72	$812.72 – $812.72
23	Humana tricare facility · fee schedule · outpatient	$816.68	$816.68	$816.68 – $816.68
24	Aetna medicare advantage facility · fee schedule · outpatient	$859.66	$859.66	$859.66 – $859.66
25	Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient	$859.66	$859.66	$859.66 – $859.66

Page 1 of 2 · 38 rates

Last updated: Apr 28, 2026

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