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Ohio

Cost of a Abscess Drainage Visit
in Ohio

Reviewed by Momentary Medical Group West PC

Ohio's healthcare market operates approximately 2% below national averages, with Medicaid expansion providing broader access to specialty services across the state's diverse urban and rural communities. For Abscess Drainage procedures, Ohio patients typically pay between $63 and $206, with a median out-of-pocket cost of $104 based on negotiated insurance rates. With over 4,600 active providers offering these services throughout Ohio, patients have substantial options when selecting an in-network specialist for their drainage procedure needs.

Average

$124

Median

$104

Lowest

$63

Highest

$206

Providers

4,671

National avg: $180Ohio: $124

31% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Skin Biopsy

Tangential biopsy of skin

11102$30$89$1644,523
Joint Injection

Injection into a major joint or bursa

20610$38$80$1065,495
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$1$3$855,851

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 Ohio

Ohio's healthcare costs run approximately 2% below national averages, reflecting the state's moderate cost of living and competitive insurance market. The state's mix of major metropolitan areas like Columbus and Cleveland with extensive rural regions creates significant cost variations for specialty procedures.

Urban vs. Rural Provider Availability

Ohio's major metropolitan areas around Cleveland, Columbus, and Cincinnati offer abundant provider options, creating competitive pricing for routine procedures like abscess drainage. Rural counties in southeastern and northwestern Ohio have fewer specialists, sometimes requiring patients to travel to urban centers for care. This geographic disparity can result in higher travel costs but often lower procedure fees in smaller communities.

Facility Type and Overhead Costs

Large health systems like Cleveland Clinic, OhioHealth, and Ohio State Wexner Medical Center operate extensive networks of hospital-based outpatient clinics with higher overhead costs. Independent urgent care centers and dermatology practices throughout Ohio typically offer more competitive rates for drainage procedures. Ambulatory surgery centers, particularly prevalent in Ohio's suburban markets, often provide the optimal balance of quality and cost-effectiveness.

Insurance Market Competition in Ohio

Medical Mutual, Anthem, and UnitedHealthcare compete actively across Ohio's insurance markets, preventing any single insurer from dominating rate negotiations. This competitive environment benefits patients through more reasonable negotiated rates and broader provider networks. Regional insurers like Summa Care and Molina Healthcare also contribute to market competition, particularly in specific geographic areas.

Physician Supply and Demand in Ohio

With over 4,600 providers capable of performing abscess drainage procedures, Ohio maintains adequate specialist availability relative to its population of 11.8 million residents. This healthy provider-to-patient ratio helps moderate pricing and reduces wait times for non-emergency procedures. Ohio's medical schools and residency programs continue producing specialists, maintaining stable supply levels across most regions.

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 Ohio

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

Without insurance in Ohio, abscess drainage procedures typically cost between $63 and $206, with a median cost of $104 based on negotiated insurance rates. Self-pay patients often receive discounts of 20-40% when paying at the time of service. Many Ohio providers offer payment plans or sliding scale fees to make drainage procedures more affordable for uninsured patients.

Does Ohio Medicaid cover Abscess Drainage visits?

Yes, Ohio's expanded Medicaid program covers medically necessary abscess drainage procedures with minimal or no copays for eligible patients. Since Ohio expanded Medicaid in 2014, coverage now extends to adults earning up to 138% of the federal poverty level. Patients must receive care from Medicaid-enrolled providers to receive full coverage benefits.

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

Compare costs between hospital outpatient departments, urgent care centers, and independent practices, as prices can vary significantly across facility types in Ohio. Many community health centers offer sliding scale fees based on income, while ambulatory surgery centers often provide competitive rates. Ask about cash-pay discounts if you're uninsured, as many Ohio providers offer substantial reductions for immediate payment.

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

Initial abscess drainage visits typically include both evaluation and procedure costs, ranging from $63-$206 in Ohio based on complexity and facility type. Follow-up visits for wound checks or dressing changes usually cost significantly less, often falling into standard office visit rates. Many providers include one follow-up visit in their initial procedure fee to monitor healing progress.

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

Yes, abscess drainage procedures qualify as eligible medical expenses under both HSA and FSA plans since they treat acute medical conditions. You can use your HSA or FSA debit card directly at most Ohio providers, or save receipts for reimbursement if paying out of pocket. These tax-advantaged accounts can cover both the procedure fee and any related prescription antibiotics or wound care supplies.

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

While abscess drainage procedures require in-person treatment, initial consultations via telemedicine can help determine urgency and appropriate care settings in Ohio. Telehealth consultations typically cost $50-$100 less than office visits and may help patients avoid unnecessary emergency department visits. Many Ohio providers offer virtual follow-up visits after drainage procedures to monitor healing progress at reduced costs.

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