Cost of a Abscess Drainage Visit
in Pennsylvania
Reviewed by Momentary Medical Group West PC
Pennsylvania's healthcare market operates with concentrated provider networks in Philadelphia and Pittsburgh while maintaining strong rural access through regional health systems. Abscess Drainage procedures typically cost patients between $73 and $464 in Pennsylvania, with a median cost of $119 based on negotiated insurance rates. The state maintains over 1,450 active providers performing abscess drainage procedures, offering patients substantial choice across both metropolitan and rural areas.
Average
$219
Median
$119
Lowest
$73
Highest
$464
Providers
1,455
22% above national average
Compare Similar Procedures
How does abscess drainage (i&d) compare to related procedures in Pennsylvania?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Skin Biopsy Tangential biopsy of skin | 11102 | $34 | $97 | $387 | 1,062 |
| Joint Injection Injection into a major joint or bursa | 20610 | $43 | $80 | $538 | 1,653 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $2 | $55 | $90 | 2,293 |
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 Pennsylvania
Pennsylvania's healthcare costs run approximately 9% above national averages, reflecting the state's mix of high-cost urban markets in Philadelphia and Pittsburgh alongside more affordable rural regions. The Commonwealth's regulatory environment and dominant health system presence create unique cost dynamics that affect abscess drainage pricing across different geographic regions.
Urban vs. Rural Provider Availability
Pennsylvania's geography creates distinct cost and access patterns, with the Philadelphia-Camden-Wilmington and Pittsburgh metropolitan areas offering abundant provider choice while rural counties in central and northern Pennsylvania may have limited options. Rural areas often see higher per-procedure costs due to lower patient volumes and higher overhead costs, while urban markets benefit from competition among multiple health systems. Travel distances in rural Pennsylvania can add indirect costs for patients seeking specialized urgent care services.
Facility Type and Overhead Costs
Pennsylvania's healthcare landscape includes major health systems like UPMC, Penn Medicine, and Geisinger, whose hospital-affiliated urgent care centers typically charge premium rates for abscess drainage procedures. Independent urgent care chains and freestanding emergency departments offer more competitive pricing but may have different capabilities for complex procedures. Academic medical centers in Philadelphia and Pittsburgh often carry the highest facility fees due to teaching hospital overhead and specialized staffing.
Insurance Market Competition in Pennsylvania
The Pennsylvania insurance market shows regional concentration with Highmark dominating western regions, Independence Blue Cross serving southeastern markets, and UnitedHealthcare maintaining statewide presence. This geographic segmentation can limit competitive pressure on negotiated rates in certain areas, potentially increasing abscess drainage costs. The state's lack of an all-payer claims database reduces price transparency, making it harder for patients to compare costs across different insurers and providers.
Physician Supply and Demand in Pennsylvania
With over 1,450 providers performing abscess drainage procedures, Pennsylvania maintains adequate supply in metropolitan areas while some rural counties face provider shortages. This robust provider network in urban areas creates competitive pricing pressure, while rural shortages can drive up costs due to limited alternatives. Wait times for non-emergency abscess drainage procedures remain generally reasonable statewide, though urgent cases may face capacity constraints during peak demand periods.
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 Pennsylvania
What is the average cost of a Abscess Drainage visit in Pennsylvania without insurance?
Does Pennsylvania Medicaid cover Abscess Drainage visits?
How do I find an affordable Abscess Drainage near me in Pennsylvania?
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 Pennsylvania?
How does telemedicine affect the cost of seeing a Abscess Drainage in Pennsylvania?
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 |