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
14% below national average
Compare Similar Procedures
How does abscess drainage (i&d) compare to related procedures in Idaho?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Skin Biopsy Tangential biopsy of skin | 11102 | $47 | $80 | $174 | 247 |
| Joint Injection Injection into a major joint or bursa | 20610 | $51 | $80 | $202 | 226 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $3 | $3 | $85 | 330 |
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 10060 — Incision 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.
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.
Frequently Asked Questions — Abscess Drainage Costs in Idaho
What is the average cost of a Abscess Drainage visit in Idaho without insurance?
Does Idaho Medicaid cover Abscess Drainage visits?
How do I find an affordable Abscess Drainage near me in Idaho?
What is the difference in cost between an initial consultation and a follow-up visit?
Can I use an HSA or FSA to pay for a Abscess Drainage visit in Idaho?
How does telemedicine affect the cost of seeing a Abscess Drainage in Idaho?
Click a state to compare costs
Average Visit Cost
Office visit (CPT 10060)
Compare With Other States
| Rank | State | Average↓ |
|---|---|---|
| 1 | Wisconsin Range: $73 – $779 | $317 |
| 2 | North Dakota Range: $80 – $611 | $277 |
| 3 | Iowa Range: $85 – $502 | $267 |
| 4 | Minnesota Range: $80 – $540 | $256 |
| 5 | Massachusetts Range: $80 – $464 | $237 |
| 6 | Rhode Island Range: $80 – $464 | $237 |
| 7 | Illinois Range: $80 – $459 | $230 |
| 8 | Connecticut Range: $80 – $464 | $230 |
| 9 | Nebraska Range: $119 – $308 | $228 |
| 10 | New York Range: $81 – $464 | $227 |
| 11 | Delaware Range: $76 – $464 | $219 |
| 12 | Pennsylvania Range: $73 – $464 | $219 |
| 13 | Michigan Range: $80 – $464 | $216 |
| 14 | West Virginia Range: $80 – $456 | $216 |
| 15 | New Hampshire Range: $112 – $303 | $214 |
| 16 | Indiana Range: $80 – $456 | $210 |
| 17 | Georgia Range: $83 – $397 | $209 |
| 18 | Wyoming Range: $80 – $372 | $206 |
| 19 | Maine Range: $126 – $254 | $200 |
| 20 | Oregon Range: $80 – $387 | $195 |
| 21 | District of Columbia Range: $76 – $346 | $194 |
| 22 | Washington Range: $80 – $324 | $182 |
| 23 | South Dakota Range: $83 – $309 | $178 |
| 24 | Vermont Range: $95 – $290 | $178 |
| 25 | New Mexico Range: $85 – $274 | $172 |
| 26 | Alaska Range: $80 – $348 | $169 |
| 27 | Colorado Range: $62 – $309 | $168 |
| 28 | North Carolina Range: $77 – $297 | $168 |
| 29 | Utah Range: $40 – $278 | $168 |
| 30 | Kentucky Range: $80 – $308 | $167 |
| 31 | Hawaii Range: $80 – $308 | $166 |
| 32 | Montana Range: $80 – $308 | $156 |
| 33 | Idaho Range: $80 – $289 | $155 |
| 34 | New Jersey Range: $44 – $306 | $151 |
| 35 | Arkansas Range: $85 – $224 | $149 |
| 36 | Maryland Range: $71 – $254 | $145 |
| 37 | Texas Range: $80 – $233 | $142 |
| 38 | Virginia Range: $67 – $244 | $140 |
| 39 | South Carolina Range: $80 – $232 | $140 |
| 40 | Oklahoma Range: $79 – $227 | $137 |
| 41 | Tennessee Range: $83 – $204 | $135 |
| 42 | Louisiana Range: $76 – $211 | $132 |
| 43 | Missouri Range: $81 – $178 | $131 |
| 44 | Kansas Range: $88 – $177 | $129 |
| 45 | Alabama Range: $76 – $203 | $127 |
| 46 | Ohio Range: $63 – $206 | $124 |
| 47 | Arizona Range: $80 – $192 | $124 |
| 48 | Mississippi Range: $79 – $187 | $124 |
| 49 | California Range: $15 – $264 | $122 |
| 50 | Nevada Range: $30 – $189 | $102 |
| 51 | Florida Range: $35 – $187 | $92 |
