Cost of a Abscess Drainage Visit
in South Dakota
Reviewed by Momentary Medical Group West PC
South Dakota's healthcare system serves one of the nation's most rural populations, with limited provider networks concentrated in Sioux Falls and Rapid City metro areas. Abscess Drainage procedures in the state typically cost patients between $83 and $309, with a median out-of-pocket expense of $143 based on negotiated insurance rates. With 68 active Abscess Drainage providers across South Dakota, patients can browse all available specialists to find quality care that fits their budget and location needs.
Average
$178
Median
$143
Lowest
$83
Highest
$309
Providers
68
1% below national average
Compare Similar Procedures
How does abscess drainage (i&d) compare to related procedures in South Dakota?
| Procedure | CPT | Low | Median | High | Providers |
|---|---|---|---|---|---|
| Skin Biopsy Tangential biopsy of skin | 11102 | $38 | $89 | $242 | 70 |
| Joint Injection Injection into a major joint or bursa | 20610 | $48 | $85 | $268 | 77 |
| Blood Draw (Venipuncture) Routine venipuncture for blood sample | 36415 | $3 | $3 | $3 | 348 |
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 South Dakota
Healthcare costs in South Dakota run approximately 3% above national averages despite the state's rural character, reflecting limited provider competition and higher operational costs in remote areas. The state's scattered population creates unique access challenges, with many residents traveling significant distances for specialized care.
Urban vs. Rural Provider Availability
Sioux Falls and Rapid City concentrate most specialist providers, while vast rural areas rely on critical access hospitals and traveling physicians. This geographic disparity forces many patients to seek care in urban centers, adding travel costs but often providing more competitive pricing due to higher provider density.
Facility Type and Overhead Costs
Major health systems like Sanford Health and Avera dominate South Dakota's healthcare landscape, operating both hospital-based specialty clinics and independent practices. Hospital-owned facilities typically charge higher rates due to facility fees and administrative overhead, while smaller independent practices may offer more competitive cash-pay pricing.
Insurance Market Competition in South Dakota
Limited insurer options with Wellmark BCBS, Sanford Health Plan, and UnitedHealthcare controlling most of the market reduces competitive pressure on negotiated rates. This concentrated market structure can lead to higher out-of-pocket costs for patients, particularly in rural areas where provider choice is already limited.
Physician Supply and Demand in South Dakota
With 68 active providers handling abscess drainage procedures statewide, South Dakota maintains reasonable access relative to its population size. However, the geographic distribution heavily favors urban areas, creating supply constraints in rural regions that can drive up costs and extend wait times for non-emergency procedures.
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 South Dakota
What is the average cost of a Abscess Drainage visit in South Dakota without insurance?
Does South Dakota Medicaid cover Abscess Drainage visits?
How do I find an affordable Abscess Drainage near me in South Dakota?
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 South Dakota?
How does telemedicine affect the cost of seeing a Abscess Drainage in South Dakota?
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 |