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Indiana

Cost of a Abscess Drainage Visit
in Indiana

Reviewed by Momentary Medical Group West PC

Indiana's healthcare costs run approximately 6% below the national average, making Abscess Drainage procedures more affordable than in many states. Patients typically pay between $80 and $456 for abscess drainage, with a median cost of $93. With 651 active providers across the state offering this service, Indiana residents have substantial options for finding quality care at competitive rates.

Average

$210

Median

$93

Lowest

$80

Highest

$456

Providers

651

National avg: $180Indiana: $210

17% above national average

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Just $19.99/mo

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Skin Biopsy

Tangential biopsy of skin

11102$35$85$211448
Joint Injection

Injection into a major joint or bursa

20610$50$88$191740
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$2$18$90884

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 Indiana

Healthcare costs in Indiana run about 6% below the national average, reflecting the state's lower cost of living and competitive provider market. The growing ambulatory surgery center market provides alternatives to higher-cost hospital outpatient departments for many procedures.

Urban vs. Rural Provider Availability

Indianapolis and Fort Wayne offer the highest concentration of specialists and urgent care facilities, creating competitive pricing for routine procedures like abscess drainage. Rural counties often rely on critical access hospitals or require travel to regional centers, potentially increasing overall costs when factoring in time and transportation. Northern Indiana benefits from proximity to Chicago-area healthcare systems, while southern regions are more isolated.

Facility Type and Overhead Costs

Hospital-owned outpatient clinics typically charge facility fees that independent urgent care centers avoid, making the same procedure cost significantly more at health system locations. Indiana's major systems like Indiana University Health and Parkview have substantial market presence, though independent practices remain common in smaller communities. Ambulatory surgery centers are growing rapidly, offering a middle ground between emergency departments and physician offices.

Insurance Market Competition in Indiana

Anthem holds the largest market share statewide, with UHC and regional player MDwise providing competition primarily in urban areas. Rural counties often have limited insurer options, reducing negotiating power and potentially leading to higher contracted rates. The state's decision not to expand Medicaid has kept the individual marketplace smaller than in expansion states, limiting insurer participation in some regions.

Physician Supply and Demand in Indiana

With 651 providers offering abscess drainage services, Indiana has adequate supply in most regions, though rural areas face ongoing physician shortages. The state's medical schools and residency programs help maintain provider pipelines, particularly in Indianapolis. Competitive supply in urban areas helps keep prices reasonable, while rural shortages can drive up costs and extend wait times for non-urgent procedures.

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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 Indiana

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

Without insurance, abscess drainage in Indiana typically costs between $80 and $456, with a median price of $93. These rates reflect what insurers have negotiated with providers, so uninsured patients may face higher list prices initially. However, many providers offer substantial self-pay discounts, often reducing costs to levels comparable to or below the median rate. Ask about cash payment discounts and payment plans when scheduling your appointment.

Does Indiana Medicaid cover Abscess Drainage visits?

Traditional Indiana Medicaid covers medically necessary abscess drainage procedures with minimal copays for eligible recipients. However, Indiana did not expand Medicaid, so coverage is limited to pregnant women, children, disabled individuals, and parents earning less than 44% of the federal poverty level. Adults without children who earn above this threshold but below marketplace subsidy levels may lack coverage options. Emergency Medicaid may cover abscess drainage in life-threatening situations regardless of regular eligibility.

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

Compare costs between urgent care centers, independent practices, and hospital outpatient clinics, as prices can vary dramatically for identical procedures. Ask about self-pay discounts, which many Indiana providers offer at 20-40% off standard rates. Community health centers throughout Indiana provide sliding-scale fees based on income and may be significantly more affordable than traditional healthcare facilities. Consider traveling to areas with more provider competition if you're in a rural county with limited options.

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

Initial abscess drainage visits typically cost between $80-456 based on the complexity and time required for the procedure itself. Follow-up appointments to check healing, remove packing, or assess for complications are usually brief visits that cost significantly less, often in the $50-150 range. The initial procedure includes the drainage, wound care, and initial antibiotic prescribing, while follow-ups focus on monitoring recovery. Some providers include one follow-up visit in their initial procedure fee.

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

Yes, abscess drainage is considered a qualified medical expense that can be paid for using Health Savings Account or Flexible Spending Account funds. You can use these accounts for the procedure itself, related prescription antibiotics, and follow-up care. Keep all receipts and documentation, as the IRS may require proof that the expenses were medically necessary. Both the professional fees and any facility fees associated with the drainage procedure are eligible expenses.

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

Telemedicine cannot replace in-person abscess drainage procedures, which require physical intervention to drain infected material. However, telehealth consultations can be useful for initial evaluation to determine if drainage is necessary, potentially saving an unnecessary office visit. Post-procedure follow-ups may sometimes be conducted virtually if healing is progressing normally. Indiana expanded telehealth coverage during the pandemic, making virtual consultations more affordable and accessible for appropriate situations.

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
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming