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Missouri

Cost of a Abscess Drainage Visit
in Missouri

Reviewed by Momentary Medical Group West PC

Missouri's healthcare costs run approximately 5% below the national average, benefiting patients seeking Abscess Drainage procedures across the Show-Me State. Patients typically pay between $81 and $178 for an Abscess Drainage visit, with a median cost of $134. With over 5,500 active providers offering these services throughout Missouri, patients have substantial options for finding quality care in both metropolitan areas like Kansas City and St. Louis as well as rural communities.

Average

$131

Median

$134

Lowest

$81

Highest

$178

Providers

5,522

National avg: $180Missouri: $131

27% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Skin Biopsy

Tangential biopsy of skin

11102$36$110$1365,334
Joint Injection

Injection into a major joint or bursa

20610$43$86$1015,522
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$2$3$235,682

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 Missouri

Missouri's healthcare costs run approximately 5% below national averages, reflecting the state's balanced mix of urban medical centers and rural providers. The state's geographic spread from Kansas City to rural counties creates distinct cost patterns, with metropolitan areas offering more competitive pricing through higher provider density.

Urban vs. Rural Provider Availability

St. Louis and Kansas City metro areas concentrate most of Missouri's specialized providers, creating competitive pricing for Abscess Drainage procedures, while rural counties may have limited options requiring patients to travel for care. This geographic disparity means rural patients often face higher costs due to reduced competition and increased facility overhead in smaller markets. Some rural areas rely on visiting specialists or telemedicine consultations to improve access.

Facility Type and Overhead Costs

Major health systems like BJC HealthCare and Saint Luke's Health System operate hospital-based outpatient clinics throughout Missouri, typically charging facility fees that increase total procedure costs compared to independent practices. These larger systems often serve as regional referral centers, particularly in rural areas where independent specialists may be scarce. Ambulatory surgery centers provide a middle-ground option, offering specialized equipment without full hospital overhead.

Insurance Market Competition in Missouri

Anthem Blue Cross Blue Shield, UnitedHealthcare, and Cigna dominate Missouri's commercial insurance market, creating moderate competition that influences negotiated rates with providers. The state's decision not to expand Medicaid limits insurer participation in certain market segments, potentially reducing competitive pressure on pricing. Rural counties often have fewer insurer options, which can affect negotiated rates and provider network adequacy.

Physician Supply and Demand in Missouri

With over 5,500 providers offering Abscess Drainage services, Missouri maintains adequate specialist availability in urban areas while rural regions face more limited options. This supply concentration in metropolitan areas helps keep costs competitive through provider competition, while rural scarcity can drive prices higher. Wait times for non-urgent procedures tend to be shorter in St. Louis and Kansas City compared to rural counties where patients may need to schedule weeks in advance.

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 Missouri

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

Uninsured patients in Missouri typically pay between $81 and $178 for an Abscess Drainage procedure, with a median cost of $134. These rates reflect negotiated prices that insurers pay providers, though self-pay patients may qualify for discounts that reduce these amounts. Many Missouri providers offer cash-pay discounts of 10-30% for patients paying at the time of service, making the actual out-of-pocket cost potentially lower than these figures.

Does Missouri Medicaid cover Abscess Drainage visits?

Traditional Missouri Medicaid covers medically necessary Abscess Drainage procedures for eligible recipients, though the state has not expanded Medicaid, limiting eligibility to specific categories like pregnant women, children, and disabled individuals. Coverage requires the procedure to meet medical necessity criteria documented by the treating physician. Patients should verify their specific eligibility and confirm that their chosen provider accepts Missouri Medicaid before scheduling treatment.

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

Compare prices across different facility types in Missouri, as independent practices often cost less than hospital-based outpatient clinics that charge additional facility fees. Ask about self-pay discounts, payment plans, and sliding scale fees based on income, which many providers offer. Community health centers throughout Missouri may provide reduced-cost care for qualifying patients, while some providers offer telemedicine consultations for follow-up care at lower rates.

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

Initial Abscess Drainage procedures typically cost $81 to $178 in Missouri, while follow-up visits for wound checks or dressing changes usually cost significantly less, often ranging from $50 to $100. The complexity of the initial drainage, including the size and location of the abscess, influences the total cost more than subsequent routine follow-up appointments. Some providers bundle follow-up visits into the initial procedure fee, so ask about inclusive pricing when scheduling.

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

Yes, Abscess Drainage procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA) since they treat medical conditions. You can use these pre-tax dollars to pay for the procedure, any related medications like antibiotics, and follow-up visits in Missouri. Keep all receipts and documentation for tax purposes, as the IRS may require proof that expenses were medically necessary.

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

While the actual drainage procedure must be performed in person, telemedicine consultations in Missouri can reduce costs for initial assessments, follow-up care, and wound monitoring. Virtual visits typically cost 30-50% less than in-office consultations and may help determine if immediate drainage is necessary or if conservative treatment should be tried first. Missouri providers increasingly offer telemedicine options for post-procedure follow-ups, reducing travel time and costs for patients in rural areas.

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