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Opening And Draining A Pancreatic Cyst

Pennsylvania rates for HCPCS 48500

Surgery that opens a fluid-filled sac on the pancreas and stitches its edges open so it drains continuously instead of filling up again. It is used for a cyst that keeps coming back, causes pain, or presses on nearby organs.

Rates data updated July 2026.

How much does Opening And Draining A Pancreatic Cyst cost?

$1,230

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,230 for this service. The price depends on where it is billed: about $1,202 from a physician practice, and about $5,370 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,202$1,096 to $1,349
FacilityA hospital or hospital-owned outpatient department$5,370$1,514 to $7,762

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,023 to $8,511Professionalmedian $1,202 · 10th to 90th $1,023 to $1,698
$500$1K$2K$5K$10K$20Kfacility $5,370professional $1,202

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,230.27
Median
$5,370.32
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,047.13
Median
$1,174.90
Typical High
$1,621.81
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$20,417.38
Median
$21,379.62
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,621.81
Median
$1,778.28
Typical High
$1,778.28
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,905.46
Typical High
$36,307.81
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,288.25
Typical High
$2,290.87
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,202.26
Median
$1,621.81
Typical High
$2,238.72
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,202.26
Typical High
$1,949.84
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$4,786.30
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$1,202.26
Typical High
$2,238.72
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,047.13
Typical High
$2,570.40
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$933.25
Median
$2,754.23
Typical High
$2,884.03
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$2,290.87
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,258.93
Typical High
$2,238.72

Where Pennsylvania sits

The same service costs 2.3 times more in Minnesota than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 45th of 51

$1,230

MN $2,630KY $1,148

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.