Cost of a Abscess Drainage Visit
in Montana
Reviewed by Momentary Medical Group West PC
Montana's expansive rural geography creates unique challenges for accessing specialized procedures, with many residents traveling significant distances for care. Patients seeking Abscess Drainage procedures typically pay between $80 and $308, with a median out-of-pocket cost of $80 based on negotiated insurance rates. With 314 active providers offering these services across Montana, patients can browse all available options to find the most convenient and affordable care in their region.
Average
$156
Median
$80
Lowest
$80
Highest
$308
Providers
314
13% below national average
Compare Similar Procedures
How does abscess drainage (i&d) compare to related procedures in Montana?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Skin Biopsy Tangential biopsy of skin | 11102 | $80 | $80 | $108 | 312 |
| Joint Injection Injection into a major joint or bursa | 20610 | $70 | $80 | $95 | 320 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $3 | $3 | $80 | 391 |
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 Montana
Montana's healthcare costs run approximately 4% above the national average, reflecting the state's rural geography and limited provider competition in many regions. The vast distances between population centers create natural monopolies for many healthcare services, allowing providers to maintain higher pricing than more competitive markets.
Urban vs. Rural Provider Availability
Billings and Missoula contain the majority of Montana's specialists and urgent care facilities, while rural counties may have only one or two options for abscess drainage procedures. Patients in frontier counties often travel 50+ miles for care, sometimes crossing state lines to reach the nearest provider. This geographic isolation reduces price competition and can drive up costs in underserved areas.
Facility Type and Overhead Costs
Hospital-owned urgent care centers affiliated with systems like Billings Clinic or Providence St. Joseph typically charge more than independent practices due to higher administrative overhead. Critical access hospitals in rural Montana often handle abscess drainage in their emergency departments, resulting in facility fees that can double the total cost. Independent urgent care centers and dermatology clinics generally offer the most competitive pricing for routine drainage procedures.
Insurance Market Competition in Montana
Blue Cross Blue Shield of Montana holds dominant market share, particularly in rural areas where it may be the only option on the individual marketplace. PacificSource and UnitedHealthcare provide competition primarily in urban corridors, while many rural counties have limited insurer choice. This concentration reduces competitive pressure on negotiated rates, contributing to Montana's above-average healthcare costs.
Physician Supply and Demand in Montana
With 314 providers offering abscess drainage services across Montana's 1.1 million residents, the state maintains adequate capacity for urgent procedures like abscess treatment. However, these providers are heavily concentrated in Billings, Missoula, Great Falls, and Bozeman, leaving many rural areas underserved. The physician shortage in frontier counties can lead to longer wait times and higher costs when patients must seek care at hospital emergency departments.
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 Montana
What is the average cost of a Abscess Drainage visit in Montana without insurance?
Does Montana Medicaid cover Abscess Drainage visits?
How do I find an affordable Abscess Drainage near me in Montana?
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 Montana?
How does telemedicine affect the cost of seeing a Abscess Drainage in Montana?
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 |