Simple removal of pilonidal cyst at Columbia Memorial Hospital

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR EXCISION PILONIDAL CYST/SINUS SIMPLE

Hudson, NY

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How this price compares nationally

Columbia Memorial Hospital’s median price of $326 is 89% below the median hospital's median price ($3.1k), higher than 10% of the 2,062 hospitals reporting CPT 11770. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 11770 at Columbia Memorial Hospital

Negotiated rates from the hospital’s own file: 6 payers, 50 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	UnitedHealthcare medicaid_fac professional · fee schedule · outpatient	$79.34	$79.34	$79.34 – $79.34
2	UnitedHealthcare medicaid_nonfac professional · fee schedule · outpatient	$148.46	$148.46	$148.46 – $148.46
3	Blue Cross Blue Shield blue access_fac professional · fee schedule · outpatient	$163.73	$163.73	$163.73 – $163.73
4	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_ancillary providers_fac professional · fee schedule · outpatient	$168.59	$168.59	$168.59 – $168.59
5	Tricare all products_nonphysician_fac professional · fee schedule · outpatient	$168.59	$168.59	$168.59 – $168.59
6	Blue Cross Blue Shield hmo_fac professional · fee schedule · outpatient	$173.37	$173.37	$173.37 – $173.37
7	UnitedHealthcare medicare_fac professional · fee schedule · outpatient	$178.51	$178.51	$178.51 – $178.51
8	Blue Cross Blue Shield pathway enhanced_fac professional · fee schedule · outpatient	$180.33	$180.33	$180.33 – $180.33
9	Blue Cross Blue Shield ppo_fac professional · fee schedule · outpatient	$180.33	$180.33	$180.33 – $180.33
10	Blue Cross Blue Shield essentialnonaliessa_ancillary providers_fac professional · fee schedule · outpatient	$185.44	$185.44	$185.44 – $185.44
11	UnitedHealthcare all products_nonmd_fac professional · fee schedule · outpatient	$195.63	$195.63	$195.63 – $195.63
12	Blue Cross Blue Shield essentialaliessa-medicaid-chp-harp_md_fac professional · fee schedule · outpatient	$198.34	$198.34	$198.34 – $198.34
13	Blue Cross Blue Shield medicare_fac professional · fee schedule · outpatient	$198.34	$198.34	$198.34 – $198.34
14	Tricare all products_physician_fac professional · fee schedule · outpatient	$198.34	$198.34	$198.34 – $198.34
15	Highmark all products_without loc professional · fee schedule · outpatient	$202.33	$202.33	$202.33 – $202.33
16	Aetna medicare_fac professional · fee schedule · outpatient	$204.29	$204.29	$204.29 – $204.29
17	Highmark medicare_without loc professional · fee schedule · outpatient	$215.58	$215.58	$215.58 – $215.58
18	Blue Cross Blue Shield essentialnonaliessa_md_fac professional · fee schedule · outpatient	$218.17	$218.17	$218.17 – $218.17
19	UnitedHealthcare all products_md_fac professional · fee schedule · outpatient	$230.15	$230.15	$230.15 – $230.15
20	UnitedHealthcare all products_fac professional · fee schedule · outpatient	$238.01	$238.01	$238.01 – $238.01
21	Cigna commercial_specialist_fac professional · fee schedule · outpatient	$253.40	$253.40	$253.40 – $253.40
22	Cigna commercial_pcp_fac professional · fee schedule · outpatient	$261.85	$261.85	$261.85 – $261.85
23	Aetna all products_fac professional · fee schedule · outpatient	$307.43	$307.43	$307.43 – $307.43
24	Blue Cross Blue Shield blue access_nonfac professional · fee schedule · outpatient	$308.93	$308.93	$308.93 – $308.93
25	Tricare all products_nonphysician_nonfac professional · fee schedule · outpatient	$315.46	$315.46	$315.46 – $315.46

Page 1 of 2 · 50 rates

Last updated: Dec 31, 2025

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