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Idaho

Cost of a Abscess Drainage Visit
in Idaho

Reviewed by Momentary Medical Group West PC

Idaho's rural geography creates unique challenges for surgical care access, with many patients traveling significant distances for specialized procedures. Abscess Drainage (I&D) patients typically pay between $80 and $289, with a median out-of-pocket cost of $95 based on negotiated insurance rates. Idaho has 218 active Abscess Drainage providers across the state, allowing patients to browse all available specialists and compare costs before scheduling.

Average

$155

Median

$95

Lowest

$80

Highest

$289

Providers

218

National avg: $180Idaho: $155

14% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Skin Biopsy

Tangential biopsy of skin

11102$47$80$174247
Joint Injection

Injection into a major joint or bursa

20610$51$80$202226
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$3$3$85330

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 Idaho

Idaho's healthcare costs run approximately 3% below national averages, reflecting the state's lower cost of living and rural economics. The state's vast geographic spread creates significant disparities between urban medical centers and remote rural practices serving sparsely populated regions.

Urban vs. Rural Provider Availability

Boise and Coeur d'Alene concentrate most specialist providers, while rural counties often rely on traveling surgeons or emergency department coverage for Abscess Drainage procedures. This geographic imbalance drives many patients to travel 100+ miles for routine procedures, though urgent cases receive local emergency care. Rural facilities typically charge 15-30% less than urban counterparts but may have limited appointment availability.

Facility Type and Overhead Costs

Saint Alphonsus and Idaho Falls Community Hospital systems dominate the state's hospital-based outpatient surgery market, typically charging higher facility fees than independent surgical centers. Rural critical access hospitals receive special Medicare reimbursement rates that can affect private insurance negotiations. Independent urgent care centers and surgical clinics often provide the most cost-effective option for routine Abscess Drainage procedures.

Insurance Market Competition in Idaho

Regence BlueCross and PacificSource control the majority of Idaho's commercial insurance market, creating moderate negotiating power with providers. Limited insurer competition in rural areas sometimes results in higher premiums but doesn't necessarily translate to higher provider reimbursement rates. The state's relatively small population gives major health systems significant leverage in rate negotiations with smaller insurance plans.

Physician Supply and Demand in Idaho

With 218 active Abscess Drainage providers serving Idaho's 1.9 million residents, the state maintains adequate surgical capacity for routine procedures. Most specialists concentrate in the Treasure Valley and North Idaho regions, creating access challenges for residents in central and eastern counties. This geographic mismatch drives some price premiums in underserved areas while keeping urban costs competitive through provider competition.

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 Idaho

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

Uninsured patients in Idaho typically pay $80 to $289 for Abscess Drainage procedures, with most simple cases costing around $95. Rural clinics often charge less than urban hospital facilities, while emergency department drainage can reach the higher end of this range. Many providers offer cash-pay discounts of 20-40% for uninsured patients who pay at the time of service.

Does Idaho Medicaid cover Abscess Drainage visits?

Yes, Idaho Medicaid covers medically necessary Abscess Drainage procedures with minimal patient cost-sharing. Since Idaho expanded Medicaid in 2020, more adults qualify for coverage of these surgical procedures. Patients should verify their provider accepts Medicaid, as some specialist practices may have limited Medicaid appointment availability.

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

Compare costs between urgent care centers, independent surgical clinics, and hospital outpatient departments, as prices can vary significantly. Rural community health centers often provide the most affordable options for uninsured patients. Ask about cash-pay discounts and payment plans, particularly at smaller practices that offer more flexible billing arrangements.

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

Initial Abscess Drainage procedures typically cost $80-289 depending on complexity and facility type, while follow-up visits for wound checks usually run $50-150. Simple drainage procedures often include immediate post-procedure care in the initial fee. Complex cases requiring multiple drainage sessions or wound packing changes may involve separate charges for each visit.

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

Yes, Abscess Drainage procedures qualify as eligible medical expenses for both HSA and FSA accounts. You can use these pre-tax dollars for the procedure itself, related prescription antibiotics, and any follow-up wound care supplies. Keep all receipts and documentation for tax purposes, including any travel expenses if you need to go out of town for treatment.

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

Telemedicine consultations typically cost $50-100 and can help determine if you need immediate drainage or can try antibiotic treatment first. While the actual drainage procedure requires an in-person visit, telehealth can reduce unnecessary emergency department visits for minor infections. Many Idaho providers offer virtual follow-up appointments for wound monitoring, which costs less than in-person visits.

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