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New Jersey

Cost of a Abscess Drainage Visit
in New Jersey

Reviewed by Momentary Medical Group West PC

New Jersey's dense concentration of healthcare facilities and proximity to major medical centers in New York and Philadelphia creates a competitive market for Abscess Drainage services. Patients typically pay between $44 and $306 for an abscess drainage procedure, with a median negotiated rate of $103 based on insurance contracts with over 6,600 active providers. The Garden State's robust healthcare infrastructure offers patients multiple options for finding qualified Abscess Drainage providers across urban centers like Newark and Jersey City as well as suburban communities.

Average

$151

Median

$103

Lowest

$44

Highest

$306

Providers

6,608

National avg: $180New Jersey: $151

16% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Skin Biopsy

Tangential biopsy of skin

11102$21$73$2306,548
Joint Injection

Injection into a major joint or bursa

20610$34$65$2056,622
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$2$4$687,443

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 New Jersey

New Jersey's healthcare costs run approximately 17% above national averages, reflecting the state's high cost of living and proximity to expensive metropolitan markets. The dense population concentration along the I-95 corridor creates intense competition among providers while also driving up real estate and staffing costs that get passed to patients.

Urban vs. Rural Provider Availability

Northern New Jersey's proximity to New York City creates abundant provider options but also higher pricing due to metropolitan overhead costs. Central and southern regions of the state offer more moderate pricing while maintaining good access to care through regional health systems. Rural areas in northwestern New Jersey may have fewer immediate options, potentially requiring travel to larger towns for specialized wound care services.

Facility Type and Overhead Costs

Hospital-owned practices dominate much of New Jersey's healthcare landscape, often charging facility fees that can double the cost of simple procedures. Independent urgent care centers and dermatology practices typically offer more competitive pricing for abscess drainage services. Major health systems like RWJBarnabas Health and Hackensack Meridian Health have extensive networks but may have higher overhead costs reflected in their pricing.

Insurance Market Competition in New Jersey

The presence of multiple major insurers including Horizon Blue Cross Blue Shield, Aetna, and United Healthcare creates competitive pressure that helps moderate negotiated rates. However, some regional markets show concentration where one or two insurers dominate, potentially leading to higher costs in those areas. The state's insurance exchange provides additional options that often feature competitive rates for individual purchasers.

Physician Supply and Demand in New Jersey

With over 6,600 providers capable of performing abscess drainage procedures, New Jersey has adequate physician supply in most specialties relevant to this service. The state's medical schools and residency programs help maintain steady provider availability, though some subspecialties may have longer wait times. This robust provider network generally helps keep prices competitive and reduces wait times for urgent procedures like infected abscess drainage.

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 New Jersey

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

Without insurance, abscess drainage in New Jersey typically costs between $44 and $306, with a median rate of $103 based on negotiated insurance rates. Self-pay patients may receive discounts of 20-40% from these rates, especially at independent practices and urgent care centers. The final cost depends on the complexity of the drainage procedure and whether additional services like culture testing are needed.

Does New Jersey Medicaid cover Abscess Drainage visits?

Yes, New Jersey's expanded Medicaid program covers medically necessary abscess drainage procedures with minimal copays for eligible patients. Coverage includes both the drainage procedure and related services like wound care and follow-up visits. The state has a robust network of Medicaid providers, making it relatively easy to find covered care throughout New Jersey.

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

Compare costs between urgent care centers, independent practices, and hospital-based clinics, as prices can vary significantly. Many providers offer self-pay discounts or payment plans, particularly community health centers throughout the state. Consider using federally qualified health centers which offer sliding scale fees based on income and often provide comprehensive wound care services.

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

Initial abscess drainage visits typically cost between $44-$306 based on the complexity and location of the procedure. Follow-up wound care visits are generally less expensive, usually involving simple dressing changes and healing assessment. The total treatment cost often depends on whether the abscess requires multiple drainage sessions or develops complications requiring additional care.

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

Yes, both HSA and FSA funds can be used to pay for medically necessary abscess drainage procedures and related wound care services. These accounts cover copays, deductibles, and any out-of-pocket costs associated with the treatment. Keep all receipts and documentation, as these qualified medical expenses can be reimbursed from your tax-advantaged health savings accounts.

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

While abscess drainage requires in-person treatment, telemedicine consultations in New Jersey can help determine if immediate drainage is necessary or if other treatments might work first. Virtual visits typically cost $50-150 and can prevent unnecessary emergency room visits for minor skin infections. Many New Jersey providers offer telehealth follow-up appointments for wound care monitoring at lower costs 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