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Kentucky

Cost of a Abscess Drainage Visit
in Kentucky

Reviewed by Momentary Medical Group West PC

Kentucky's healthcare market, with costs running approximately 5% below national averages, offers patients more affordable options for Abscess Drainage procedures across the Commonwealth's diverse urban and rural landscape. Patients typically pay between $80 and $308 for Abscess Drainage services, with a median negotiated rate of $112 based on insurance contracts with Kentucky's 271 active providers. From Louisville's major medical centers to Appalachian region clinics, patients can browse all qualified Abscess Drainage providers throughout Kentucky to find the most cost-effective care for their needs.

Average

$167

Median

$112

Lowest

$80

Highest

$308

Providers

271

National avg: $180Kentucky: $167

7% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Skin Biopsy

Tangential biopsy of skin

11102$50$80$1441,067
Joint Injection

Injection into a major joint or bursa

20610$48$86$209492
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$2$21$851,196

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 Kentucky

Kentucky's healthcare costs run approximately 5% below national averages, reflecting the state's lower cost of living and competitive insurance market dynamics. The Commonwealth's mix of urban medical centers in Louisville and Lexington with extensive rural provider networks creates significant cost variation for Abscess Drainage procedures across different regions.

Urban vs. Rural Provider Availability

Louisville and Lexington offer concentrated specialist availability with competitive pricing, while eastern Kentucky's Appalachian counties face provider shortages that can limit options and drive up costs. Rural patients often travel to regional centers, adding transportation costs but potentially accessing lower facility fees. The state's mountainous geography creates natural service areas that affect provider competition and pricing.

Facility Type and Overhead Costs

Hospital-based outpatient clinics affiliated with major systems like Norton Healthcare, Baptist Health, and UK HealthCare typically charge higher facility fees compared to independent practices. Urgent care centers and ambulatory surgery centers offer cost-effective alternatives for routine Abscess Drainage procedures. Rural critical access hospitals may have higher per-procedure costs due to lower patient volumes.

Insurance Market Competition in Kentucky

Strong competition between Anthem, UHC, and Humana creates favorable negotiated rates for patients, particularly in Louisville and Lexington markets. Rural counties often have limited insurer options, potentially resulting in higher patient costs. The state's moderate market concentration allows for competitive pricing while maintaining adequate provider networks.

Physician Supply and Demand in Kentucky

Kentucky's 271 active Abscess Drainage providers indicate adequate supply relative to the state's population, helping maintain competitive pricing and reasonable wait times. Provider concentration in urban areas creates pricing pressure, while rural shortage areas may see premium charges. The balanced supply-demand ratio contributes to Kentucky's below-national average healthcare costs.

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 Kentucky

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

Without insurance, Abscess Drainage procedures in Kentucky typically cost between $80 and $308, with a median rate of $112 based on negotiated rates from insurance contracts. Cash-pay patients may qualify for self-pay discounts of 20-40% at many Kentucky facilities. Community health centers and urgent care centers often provide the most affordable options for uninsured patients.

Does Kentucky Medicaid cover Abscess Drainage visits?

Yes, Kentucky Medicaid covers medically necessary Abscess Drainage procedures with minimal copays for eligible patients. The state's Medicaid expansion provides coverage for adults up to 138% of the federal poverty level. Prior authorization may be required for certain facility types or complex procedures, but emergency drainage is typically covered immediately.

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

Compare costs between urgent care centers, independent practices, and hospital outpatient clinics, as prices can vary significantly. Ask about self-pay discounts if you're uninsured, and consider community health centers for reduced-cost care. Federally Qualified Health Centers throughout Kentucky offer sliding scale fees based on income, making care accessible for low-income patients.

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

Initial Abscess Drainage procedures typically cost between $80-$308 in Kentucky, while follow-up visits for wound checks or dressing changes generally cost less, usually in the $50-$150 range depending on complexity. Some providers include one follow-up visit in the initial procedure fee. Complex cases requiring multiple drainage sessions or ongoing wound management may have higher cumulative costs.

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

Yes, Abscess Drainage procedures are qualified medical expenses eligible for HSA and FSA reimbursement in Kentucky. You can use these tax-advantaged accounts to pay for deductibles, copays, and any out-of-network costs. Keep receipts and documentation for tax purposes, as the IRS requires proof of medical necessity for reimbursement.

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

While actual Abscess Drainage procedures require in-person treatment, initial consultations and follow-up care can sometimes be conducted via telemedicine at reduced costs, typically $75-$150. Kentucky expanded telehealth coverage during the pandemic, and many insurers continue to cover virtual consultations. Telemedicine can help determine if immediate drainage is needed and provide post-procedure monitoring.

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