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Delaware

Cost of a Abscess Drainage Visit
in Delaware

Reviewed by Momentary Medical Group West PC

Delaware's compact healthcare market, dominated by Highmark and concentrated primarily in New Castle County, creates unique pricing dynamics for medical procedures. Patients seeking Abscess Drainage typically pay between $75.61 and $464.11, with a median out-of-pocket cost of $116.93 across the state's 100 active providers. Delaware maintains a robust network of qualified specialists despite its small geographic footprint, and patients can browse all available Abscess Drainage providers throughout the First State.

Average

$219

Median

$117

Lowest

$76

Highest

$464

Providers

100

National avg: $180Delaware: $219

22% above national average

Compare Similar Procedures

How does abscess drainage (i&d) compare to related procedures in Delaware?

ProcedureCPTLowMedianHighProviders
Skin Biopsy

Tangential biopsy of skin

11102$33$88$38787
Joint Injection

Injection into a major joint or bursa

20610$41$80$538103
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$1$4$82118

Important: These are cost estimates only — not a quote and not medical advice.

The prices on this page are self-pay rates, drawn from federal Transparency in Coverage machine-readable files (CPT 10060Incision and drainage of abscess, simple). They represent what a patient might pay without insurance.

Your actual cost depends on: your specific insurance plan, your remaining deductible, your coinsurance percentage, whether you have met your out-of-pocket maximum, whether the facility and provider are both in-network, and any separate anesthesia or implant fees billed independently.

This page does not constitute medical advice. Whether you need this procedure, and which approach is right for you, is a decision to make with a licensed healthcare provider.

Where this data comes from & what CPT 10060 covers

Data source: Cost figures are derived from UnitedHealthcare Transparency in Coverage machine-readable files for CPT code 10060 (Incision and drainage of abscess, simple), as mandated by the CMS Price Transparency Rule.

What CPT 10060 covers: the provider's professional fee for abscess drainage (i&d). It does not include facility/hospital fees, anesthesia, pre-operative imaging, post-operative care, or any add-on codes billed separately.

How to read this data

Negotiated Rate

The discounted price an insurer has agreed to pay a specific provider. Most insured patients' bills are calculated from this number, not the higher list price hospitals publish separately.

P5, Median, P95

P5 is the rate at the 5th percentile (low end), Median is the middle value, and P95 is the 95th percentile (high end). This range shows how much the same visit can vary between providers.

What this does not tell you

These rates do not tell you what you personally will pay out of pocket. That depends on your specific plan, how much of your deductible you have already met, your coinsurance rate, and whether the provider is in your network. Call your insurer's member line to get your exact estimate.

Why Abscess Drainage Visit Costs Vary Across Delaware

Delaware's healthcare costs run approximately 11% above the national average, reflecting the state's proximity to expensive Northeast markets and limited provider competition in rural areas. The concentration of most specialists in New Castle County creates access challenges for patients in Kent and Sussex counties.

Urban vs. Rural Provider Availability

Most of Delaware's medical specialists practice in the Wilmington-Newark corridor, leaving patients in Dover and southern Delaware with limited local options. Rural patients often face higher costs due to travel requirements and fewer in-network choices, sometimes necessitating visits to specialists in Maryland or Pennsylvania.

Facility Type and Overhead Costs

ChristianaCare dominates Delaware's hospital market, operating multiple locations where facility fees can add $100-300 to your abscess drainage procedure. Independent urgent care centers and physician practices typically offer lower-cost alternatives, though they may have limited hours or require referrals to hospitals for complex cases.

Insurance Market Competition in Delaware

With Highmark, Aetna, and UHC controlling most of the individual and employer insurance markets, Delaware has moderate insurer competition that keeps negotiated rates relatively predictable. The small state market means fewer provider network options compared to larger states, potentially limiting your choice of in-network specialists.

Physician Supply and Demand in Delaware

Delaware's 100 active providers capable of performing abscess drainage creates adequate supply for the state's population of nearly one million residents. This reasonable provider-to-population ratio helps maintain competitive pricing, though geographic clustering in northern Delaware can create access disparities for residents of rural southern counties.

JP

Jayant Panwar

CEO, Momentary Labs · San Francisco, CA

Jayant has analyzed healthcare pricing data from CMS Transparency in Coverage files since 2022, covering more than 50 million negotiated rate records across all 50 states. His work focuses on making insurer machine-readable files accessible to patients and researchers.

The cost figures on this page reflect his ongoing work to make this data accessible to patients.

Healthcare Data AnalyticsCMS TiC DataInsurance Price Transparency

Frequently Asked Questions — Abscess Drainage Costs in Delaware

What is the average cost of a Abscess Drainage visit in Delaware without insurance?

Without insurance, abscess drainage in Delaware typically costs between $75.61 and $464.11, with a median cost of $116.93. The final amount depends on the complexity of the procedure, facility type, and whether additional services like cultures or follow-up care are needed. Many Delaware providers offer self-pay discounts of 20-40% for uninsured patients who pay at the time of service.

Does Delaware Medicaid cover Abscess Drainage visits?

Yes, Delaware Medicaid covers medically necessary abscess drainage procedures as the state expanded Medicaid under the Affordable Care Act. Coverage includes both the procedure itself and related services like local anesthesia and wound care supplies. You may need to obtain care from Medicaid-enrolled providers, and some plans require prior authorization for non-emergency procedures.

How do I find an affordable Abscess Drainage near me in Delaware?

Compare costs between urgent care centers, independent physician practices, and hospital outpatient departments, as prices can vary significantly. Ask about self-pay discounts if you're uninsured, and consider community health centers that offer sliding scale fees. Delaware's Federally Qualified Health Centers provide care regardless of ability to pay and may offer lower-cost options for abscess drainage.

What is the difference in cost between an initial consultation and a follow-up visit?

Initial abscess drainage procedures typically cost between $75.61 and $464.11 depending on complexity, while follow-up visits for wound checks usually cost significantly less. Many providers include one follow-up visit in the initial procedure fee, but additional visits may incur separate charges. The complexity of your case and whether cultures or additional treatments are needed will affect the total cost.

Can I use an HSA or FSA to pay for a Abscess Drainage visit in Delaware?

Yes, abscess drainage is considered a qualified medical expense that can be paid for with Health Savings Account (HSA) or Flexible Spending Account (FSA) funds. This includes the procedure itself, related medications, and follow-up care. Keep all receipts and documentation for tax purposes, as these accounts require proper documentation of medical expenses.

How does telemedicine affect the cost of seeing a Abscess Drainage in Delaware?

While abscess drainage requires an in-person procedure, telemedicine can be useful for initial consultations or follow-up care, typically costing $50-100 less than office visits. Delaware providers increasingly offer telehealth follow-ups to monitor healing and adjust treatment plans. However, the actual drainage procedure must be performed in person at a medical facility.

Click a state to compare costs

Average Visit Cost

$92
$317

Office visit (CPT 10060)

Compare With Other States

RankStateAverage
1Wisconsin
Range: $73$779
$317
2North Dakota
Range: $80$611
$277
3Iowa
Range: $85$502
$267
4Minnesota
Range: $80$540
$256
5Massachusetts
Range: $80$464
$237
6Rhode Island
Range: $80$464
$237
7Illinois
Range: $80$459
$230
8Connecticut
Range: $80$464
$230
9Nebraska
Range: $119$308
$228
10New York
Range: $81$464
$227
11Delaware
Range: $76$464
$219
12Pennsylvania
Range: $73$464
$219
13Michigan
Range: $80$464
$216
14West Virginia
Range: $80$456
$216
15New Hampshire
Range: $112$303
$214
16Indiana
Range: $80$456
$210
17Georgia
Range: $83$397
$209
18Wyoming
Range: $80$372
$206
19Maine
Range: $126$254
$200
20Oregon
Range: $80$387
$195
21District of Columbia
Range: $76$346
$194
22Washington
Range: $80$324
$182
23South Dakota
Range: $83$309
$178
24Vermont
Range: $95$290
$178
25New Mexico
Range: $85$274
$172
26Alaska
Range: $80$348
$169
27Colorado
Range: $62$309
$168
28North Carolina
Range: $77$297
$168
29Utah
Range: $40$278
$168
30Kentucky
Range: $80$308
$167
31Hawaii
Range: $80$308
$166
32Montana
Range: $80$308
$156
33Idaho
Range: $80$289
$155
34New Jersey
Range: $44$306
$151
35Arkansas
Range: $85$224
$149
36Maryland
Range: $71$254
$145
37Texas
Range: $80$233
$142
38Virginia
Range: $67$244
$140
39South Carolina
Range: $80$232
$140
40Oklahoma
Range: $79$227
$137
41Tennessee
Range: $83$204
$135
42Louisiana
Range: $76$211
$132
43Missouri
Range: $81$178
$131
44Kansas
Range: $88$177
$129
45Alabama
Range: $76$203
$127
46Ohio
Range: $63$206
$124
47Arizona
Range: $80$192
$124
48Mississippi
Range: $79$187
$124
49California
Range: $15$264
$122
50Nevada
Range: $30$189
$102
51Florida
Range: $35$187
$92
Abscess Drainage (I&D) in Other States