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Rhode Island

Cost of a Abscess Drainage Visit
in Rhode Island

Reviewed by Momentary Medical Group West PC

Rhode Island's concentrated healthcare market, dominated by just a few major health systems, creates unique pricing dynamics for Abscess Drainage procedures across the Ocean State. Patients typically pay between $80 and $464 for an abscess drainage visit, with a median out-of-pocket cost of $167, though costs can vary significantly between Providence's hospital-based clinics and smaller community practices. With 88 active providers offering these services throughout Rhode Island, patients have multiple options for finding quality care that fits their budget.

Average

$237

Median

$167

Lowest

$80

Highest

$464

Providers

88

National avg: $180Rhode Island: $237

32% above national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Skin Biopsy

Tangential biopsy of skin

11102$35$139$38765
Joint Injection

Injection into a major joint or bursa

20610$42$88$53889
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$2$4$90107

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 Rhode Island

Rhode Island's healthcare costs run approximately 13% above the national average, reflecting the state's high cost of living and concentrated provider market dominated by major health systems. The Ocean State's small geographic footprint creates unique dynamics where most residents can access Providence-based specialists, but limited competition keeps prices elevated compared to larger markets.

Urban vs. Rural Provider Availability

Rhode Island's compact size means most residents live within 30 minutes of Providence's medical corridor, where the majority of healthcare facilities cluster. However, South County and western Rhode Island residents may face longer travel times and fewer provider options, though not the extreme rural access challenges seen in larger states.

Facility Type and Overhead Costs

Hospital-based practices affiliated with Rhode Island Hospital, The Miriam Hospital, and Care New England typically charge higher facility fees due to increased overhead costs and unionized staffing. Independent urgent care centers and family practice offices generally offer more competitive pricing for routine abscess drainage procedures.

Insurance Market Competition in Rhode Island

The dominance of Blue Cross Blue Shield of Rhode Island, along with UnitedHealthcare and Tufts Health Plan, creates limited insurer competition that can result in higher negotiated rates. This concentrated market means patients have fewer insurance options and less leverage for cost savings compared to states with more diverse insurer competition.

Physician Supply and Demand in Rhode Island

With 88 active providers offering abscess drainage services across Rhode Island's small geography, the state maintains reasonable provider density relative to its population of just over one million residents. This adequate supply helps prevent severe access bottlenecks, though appointment availability can still vary between urban Providence and more suburban areas.

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 Rhode Island

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

Uninsured patients in Rhode Island typically pay between $80 and $464 for abscess drainage, with a median cost of $167. The wide range reflects differences between independent clinics and hospital-based facilities, with emergency department visits generally costing the most. Many providers offer self-pay discounts of 20-40% for patients who pay at the time of service.

Does Rhode Island Medicaid cover Abscess Drainage visits?

Yes, Rhode Island's expanded Medicaid program covers medically necessary abscess drainage procedures with minimal patient cost-sharing. Patients typically pay $1-3 copays for urgent care visits where drainage is performed. Coverage includes both the procedure itself and any necessary follow-up care, making it accessible for low-income residents.

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

Compare costs between independent urgent care centers and hospital-based clinics, as facility fees can significantly impact your total bill. Ask about self-pay discounts if you're uninsured, and consider community health centers which often offer sliding fee scales. Avoid emergency departments unless absolutely necessary, as they typically charge the highest rates for abscess drainage procedures.

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

Initial abscess drainage visits typically cost between $80-$464 since they include both evaluation and the drainage procedure itself. Follow-up visits for wound checks or dressing changes are generally less expensive, usually falling into standard office visit ranges of $100-200. Many providers include one follow-up visit in the initial drainage fee to monitor healing progress.

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

Yes, abscess drainage is considered a qualified medical expense that can be paid for using Health Savings Account (HSA) or Flexible Spending Account (FSA) funds. This includes the consultation fee, drainage procedure, any prescribed antibiotics, and follow-up care. Keep all receipts and documentation for tax purposes when using these pre-tax healthcare accounts.

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

While telemedicine consultations cost $50-100 less than in-person visits, abscess drainage requires hands-on treatment that cannot be performed remotely. Telehealth may be useful for initial evaluation or follow-up care after drainage, but the actual procedure must be done in person at a clinic or healthcare facility. Some Rhode Island providers offer hybrid approaches with virtual consultation followed by in-person treatment.

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