Montana

Cost of a Abscess Drainage Visit
in Montana

Name: Abscess Drainage (I&D) Cost in Montana (2026)
Creator: Jayant Panwar
Published: 2026-03-18

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

National avg: $180Montana: $156

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.

Full data methodology and glossary

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.

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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 Montana

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

Uninsured patients in Montana typically pay between $80 and $308 for abscess drainage procedures, with a median cost of $80 based on negotiated insurance rates. However, many providers offer cash-pay discounts that can reduce these amounts by 30-50%. Rural clinics often provide more affordable options than urban hospital systems, so it's worth comparing prices across different facility types.

Does Montana Medicaid cover Abscess Drainage visits?

Yes, Montana Medicaid covers medically necessary abscess drainage procedures since the state expanded Medicaid in 2016. Coverage includes both the procedure itself and related services like wound care and antibiotics. Patients may need to visit participating providers, which can be limited in rural areas, but urgent conditions like infected abscesses are generally covered without prior authorization.

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

Compare prices between urgent care centers, dermatology clinics, and hospital emergency departments, as costs can vary significantly by facility type. Independent urgent care centers often offer the best value, while hospital-based services typically cost more. Ask about self-pay discounts if you're uninsured, and consider community health centers in rural areas that may offer sliding-scale fees based on income.

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

Initial abscess drainage procedures typically cost $80-$308 in Montana based on the complexity and facility type. Follow-up visits for wound checks or dressing changes are usually less expensive, often ranging from $50-150 depending on the provider. Some facilities include one follow-up visit in their initial procedure fee, while others charge separately for each visit.

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

Yes, abscess drainage procedures are considered qualified medical expenses that can be paid for using HSA or FSA funds. This includes the drainage procedure itself, related medications like antibiotics, and any necessary follow-up care. Keep all receipts and documentation, as the IRS may require proof that the expense was medically necessary.

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

While abscess drainage requires in-person treatment, telemedicine can be useful for initial consultations to determine if drainage is necessary or for follow-up care monitoring. Montana has expanded telehealth access, particularly benefiting rural residents who might otherwise drive hours for a simple follow-up visit. Telehealth consultations typically cost $50-100, much less than an in-person visit, though the actual drainage procedure must be performed in a clinical setting.

Click a state to compare costs

Average Visit Cost

$92

$317

Office visit (CPT 10060)

Compare With Other States

Rank	State	Average↓	Min⇅	Max⇅	Providers⇅
1	Wisconsin(WI) Range: $73 – $779	$317	$73	$779	7,190
2	North Dakota(ND) Range: $80 – $611	$277	$80	$611	58
3	Iowa(IA) Range: $85 – $502	$267	$85	$502	624
4	Minnesota(MN) Range: $80 – $540	$256	$80	$540	733
5	Massachusetts(MA) Range: $80 – $464	$237	$80	$464	1,389
6	Rhode Island(RI) Range: $80 – $464	$237	$80	$464	88
7	Illinois(IL) Range: $80 – $459	$230	$80	$459	9,075
8	Connecticut(CT) Range: $80 – $464	$230	$80	$464	448
9	Nebraska(NE) Range: $119 – $308	$228	$119	$308	2,198
10	New York(NY) Range: $81 – $464	$227	$81	$464	31,147
11	Delaware(DE) Range: $76 – $464	$219	$76	$464	100
12	Pennsylvania(PA) Range: $73 – $464	$219	$73	$464	1,455
13	Michigan(MI) Range: $80 – $464	$216	$80	$464	2,466
14	West Virginia(WV) Range: $80 – $456	$216	$80	$456	141
15	New Hampshire(NH) Range: $112 – $303	$214	$112	$303	3,686
16	Indiana(IN) Range: $80 – $456	$210	$80	$456	651
17	Georgia(GA) Range: $83 – $397	$209	$83	$397	3,461
18	Wyoming(WY) Range: $80 – $372	$206	$80	$372	189
19	Maine(ME) Range: $126 – $254	$200	$126	$254	1,552
20	Oregon(OR) Range: $80 – $387	$195	$80	$387	418
21	District of Columbia(DC) Range: $76 – $346	$194	$76	$346	360
22	Washington(WA) Range: $80 – $324	$182	$80	$324	4,526
23	South Dakota(SD) Range: $83 – $309	$178	$83	$309	68
24	Vermont(VT) Range: $95 – $290	$178	$95	$290	340
25	New Mexico(NM) Range: $85 – $274	$172	$85	$274	1,264
26	Alaska(AK) Range: $80 – $348	$169	$80	$348	383
27	Colorado(CO) Range: $62 – $309	$168	$62	$309	1,617
28	North Carolina(NC) Range: $77 – $297	$168	$77	$297	2,542
29	Utah(UT) Range: $40 – $278	$168	$40	$278	421
30	Kentucky(KY) Range: $80 – $308	$167	$80	$308	271
31	Hawaii(HI) Range: $80 – $308	$166	$80	$308	98
32	Montana(MT) Range: $80 – $308	$156	$80	$308	314
33	Idaho(ID) Range: $80 – $289	$155	$80	$289	218
34	New Jersey(NJ) Range: $44 – $306	$151	$44	$306	6,608
35	Arkansas(AR) Range: $85 – $224	$149	$85	$224	129
36	Maryland(MD) Range: $71 – $254	$145	$71	$254	4,075
37	Texas(TX) Range: $80 – $233	$142	$80	$233	9,771
38	Virginia(VA) Range: $67 – $244	$140	$67	$244	2,969
39	South Carolina(SC) Range: $80 – $232	$140	$80	$232	1,417
40	Oklahoma(OK) Range: $79 – $227	$137	$79	$227	1,113
41	Tennessee(TN) Range: $83 – $204	$135	$83	$204	2,536
42	Louisiana(LA) Range: $76 – $211	$132	$76	$211	943
43	Missouri(MO) Range: $81 – $178	$131	$81	$178	5,522
44	Kansas(KS) Range: $88 – $177	$129	$88	$177	1,829
45	Alabama(AL) Range: $76 – $203	$127	$76	$203	2,685
46	Ohio(OH) Range: $63 – $206	$124	$63	$206	4,671
47	Arizona(AZ) Range: $80 – $192	$124	$80	$192	5,591
48	Mississippi(MS) Range: $79 – $187	$124	$79	$187	1,303
49	California(CA) Range: $15 – $264	$122	$15	$264	14,233
50	Nevada(NV) Range: $30 – $189	$102	$30	$189	2,772
51	Florida(FL) Range: $35 – $187	$92	$35	$187	5,397