Pilonidal Surgery Costs
Money is always an ugly subject, and few things in life infuriate us (in the USA, anyway) than forking over huge chunks of our hard earned cash to insurance companies, who then barely cover our needs.The costs discussed on this page are primarily for US patients. We do have a running forums thread where patients have been listing out the costs over the years.
What Are the Costs?
The average costs for surgery depend on the type of procedure you are having, where you live, what kind of coverage you have (if any). Keep in mind that you can usually negotiate a discount in fees if you are paying in cash or credit card.
- Lancings: range from $100 to $400 USD
- Conservative Treatments: range from $500 to $2,000 USD
- Excision Treatments: range from $3,000 to $6,000 USD
- Flap Surgeries: range from $10,000 to $30,000 USD
Keep in mind that these are ranges, your location could be much higher or lower. Hospital costs also vary a great deal, not to mention that billing errors are frequent. If the costs seem completely out of line, call your insurer.
What Goes Into the Costs?
- Surgeon’s Fee – just ask and they will tell you. The surgeon fee usually covers the cost for the surgeon to perform the surgery and the post surgery visits while you are healing. In the world of US medical billing, there are 6 general codes that determine billing for a surgeon, called CPT codes. These are set up by the American Medical Association. The AMA website will give you basic ranges (for US patients) of what average surgeon fees might be in your area for these coded procedures. Remember, the surgeon cost is only one of three costs that go into your surgery (use Pilonidal as your search keyword or search by the 5 digit code below).
- 11770 Simple Pilonidal Excision
- 11771 Extensive Pilonidal Excision
- 11772 Complex Pilonidal Excision
- 14301 Cleft Lift (Adjacent tissue transfer or rearrangement)
- 10080 Simple Lancing (incision & drainage)
- 10081 Complex Lancing (incision & drainage)
- Anesthesiologist Fee – the surgeon’s office will be able to tell you what it will be.
- Surgical Center Fee – your surgeon’s office should also be able to give you a good idea, or talk to the administration offices of the surgical center. The hospital or surgical center costs are where the big numbers will come in to play. The surgeon and anesthesiologist fees are straightforward; the creative accounting starts to happen at the hospital. If you are paying cash and watching the pennies – this is where you want to focus on. The more up front work you do in asking about costs and demanding information, the less of a surprise the bill will be afterward. Start your fight to control costs BEFORE your surgery.
For US based patients, some advice on working with insurers and the usual billing codes. Makes sure your surgery is covered.
Getting ready for the big day, how to prep for your surgery, what to expect when you arrive at the surgery center, what to wear.
Going home from surgery and managing your first days at home post-surgery, especially going to the bathroom.
This page last updated: January 30, 2016