Logo
Maryland

Cost of a Abscess Drainage Visit
in Maryland

Reviewed by Momentary Medical Group West PC

Maryland's rate-setting authority for hospitals creates unique cost transparency in healthcare, with over 4,075 active Abscess Drainage providers serving patients across the state. Abscess Drainage procedures typically cost between $71 and $254, with a median price of $109 based on negotiated insurance rates. Patients can browse all participating Abscess Drainage providers throughout Maryland to find the most cost-effective care for their needs.

Average

$145

Median

$109

Lowest

$71

Highest

$254

Providers

4,075

National avg: $180Maryland: $145

19% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Skin Biopsy

Tangential biopsy of skin

11102$34$76$2034,018
Joint Injection

Injection into a major joint or bursa

20610$39$60$1674,102
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$1$1$64,146

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 Maryland

Maryland's healthcare costs run approximately 13% above the national average, driven by the state's proximity to high-cost Washington DC markets and Baltimore's concentration of major medical centers. The state's unique hospital rate-setting authority creates more predictable pricing compared to other markets.

Urban vs. Rural Provider Availability

Baltimore and the DC suburbs concentrate most specialist providers, while rural Eastern Shore and Western Maryland counties have limited Abscess Drainage options. Patients in rural areas often travel 30-60 minutes to reach specialists, potentially increasing total treatment costs. Urban areas offer more competitive pricing due to higher provider density.

Facility Type and Overhead Costs

Johns Hopkins, University of Maryland, and MedStar health systems operate numerous hospital-based outpatient clinics with higher overhead costs than independent practices. Academic medical centers in Baltimore command premium pricing for their specialized expertise. Urgent care chains throughout Maryland suburbs often provide more cost-effective options for routine drainage procedures.

Insurance Market Competition in Maryland

CareFirst BlueCross BlueShield maintains market dominance with roughly 60% market share, followed by UnitedHealthcare and Aetna competing for employer groups. Limited insurer competition in some regions reduces negotiating leverage and can inflate provider reimbursement rates. The state's insurance exchange offers additional plan options that may provide better specialist access.

Physician Supply and Demand in Maryland

With 4,075 active providers performing Abscess Drainage procedures, Maryland maintains adequate supply relative to its population of 6.2 million residents. The concentration of providers near major population centers creates appointment availability advantages for urban patients. Rural provider shortages can increase wait times and may drive patients to emergency departments for urgent drainage needs.

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 Maryland

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

Uninsured patients in Maryland typically pay between $71 and $254 for Abscess Drainage procedures, with a median cost of $109. These prices reflect negotiated insurance rates and may be reduced further with cash-pay discounts. Hospital emergency departments charge significantly more, often $400-800 for the same procedure. Community health centers offer sliding-scale fees that can substantially reduce costs for qualifying patients.

Does Maryland Medicaid cover Abscess Drainage visits?

Yes, Maryland expanded Medicaid covers medically necessary Abscess Drainage procedures for eligible recipients. Coverage includes both the procedure itself and any required follow-up care or antibiotics. Patients need to see Medicaid-participating providers, and emergency drainage procedures are covered even at non-participating facilities. Prior authorization is typically not required for urgent abscess drainage.

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

Compare costs between urgent care centers, dermatology practices, and hospital outpatient clinics, as prices can vary significantly. Ask about self-pay discounts if you're uninsured, as many providers offer 20-40% reductions for immediate payment. Community health centers throughout Maryland provide low-cost options based on income eligibility. Avoid emergency departments unless truly urgent, as they typically charge 3-5 times more than other settings.

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

Initial Abscess Drainage procedures typically cost $71-254 based on complexity and time required for the drainage and wound care. Follow-up visits for wound checks or dressing changes usually cost $50-100 less than the initial procedure. Most abscesses require 1-2 follow-up visits to monitor healing progress. Some providers include one follow-up visit in their initial procedure fee, so ask about package pricing.

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

Yes, Abscess Drainage procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these pre-tax dollars for the procedure, medications, and any required follow-up care. Keep receipts and documentation from your provider for reimbursement purposes. HSA funds roll over year to year, while FSA funds typically must be used within the plan year.

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

Telemedicine cannot replace hands-on Abscess Drainage procedures, but virtual consultations can help determine if drainage is necessary before an in-person visit. Initial telehealth evaluations typically cost $40-80 and may save you from unnecessary emergency department visits. Maryland providers increasingly offer virtual follow-up visits after drainage procedures to monitor healing. Some insurance plans cover telehealth consultations at lower copay rates 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