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Texas

Cost of a Abscess Drainage Visit
in Texas

Reviewed by Momentary Medical Group West PC

Texas operates over 600 ambulatory surgery centers—one of the largest networks in the nation—creating competitive pricing for minor procedures like Abscess Drainage. Based on negotiated insurance rates, patients typically pay between $80 and $232 for an abscess drainage procedure (I&D), with a median cost of $114 across 9,771 active providers statewide. This represents approximately 13% below national pricing averages, reflecting Texas's robust healthcare market and competitive provider landscape.

Average

$142

Median

$114

Lowest

$80

Highest

$233

Providers

9,771

National avg: $180Texas: $142

21% below national average

Compare Similar Procedures

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

ProcedureCPTLowMedianHighProviders
Skin Biopsy

Tangential biopsy of skin

11102$34$87$19410,370
Joint Injection

Injection into a major joint or bursa

20610$45$85$11912,243
Blood Draw (Venipuncture)

Routine venipuncture for blood sample

36415$3$5$9013,599

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 Texas

Texas healthcare costs run approximately 4% below national averages, driven by competitive provider markets in major metros and lower overhead costs compared to coastal states. The state's massive geography creates distinct cost zones, from high-priced medical centers in Houston's Medical District to value-oriented rural clinics serving East Texas communities.

Urban vs. Rural Provider Availability

Texas's sprawling rural counties often have limited specialist access, forcing patients to travel to major metros like Dallas, Houston, Austin, or San Antonio for procedures. This geographic disparity creates cost advantages in competitive urban markets while rural facilities may charge premium rates due to limited competition. Travel costs for rural patients can exceed the procedure cost itself when specialized drainage is required.

Facility Type and Overhead Costs

Hospital-based outpatient clinics affiliated with major Texas health systems like HCA, Baylor Scott & White, or Memorial Hermann typically charge higher facility fees than independent practices. Freestanding urgent care centers and ambulatory surgery centers offer cost-effective alternatives with lower overhead, while emergency departments charge the highest rates for non-emergency drainage procedures. Texas's competitive ASC market helps keep outpatient procedure costs reasonable.

Insurance Market Competition in Texas

Major insurers UnitedHealthcare, Blue Cross Blue Shield of Texas, Aetna, and Cigna compete aggressively across Texas's large population centers, leading to competitive negotiated rates with providers. Rural areas may have limited insurer options, reducing competitive pressure on pricing, while major metros benefit from robust competition that keeps costs relatively low. The absence of a state all-payer claims database limits pricing transparency compared to other large states.

Physician Supply and Demand in Texas

With 9,771 active providers performing abscess drainage procedures statewide, Texas maintains good provider availability relative to its large population. This robust supply helps moderate pricing pressure, particularly in competitive markets like the Dallas-Fort Worth metroplex and greater Houston area. Rural regions still face provider shortages that can drive up costs and extend wait times for non-emergency procedures.

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 Texas

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

Without insurance, abscess drainage in Texas typically costs between $80 and $232, with a median price of $114 based on negotiated rates across 9,771 providers. Cash-pay patients often receive discounts of 20-40% off standard rates, particularly at independent clinics and urgent care centers. Many Texas providers offer payment plans for procedures exceeding $150, making treatment more accessible for uninsured patients.

Does Texas Medicaid cover Abscess Drainage visits?

Yes, Texas Medicaid covers medically necessary abscess drainage procedures with minimal copays for eligible recipients. However, Texas did not expand Medicaid, leaving many low-income adults without coverage options if they earn above 44% of federal poverty level. Eligible patients should verify their provider accepts Medicaid, as some specialists have limited Medicaid availability due to lower reimbursement rates.

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

Compare prices across urgent care centers, independent clinics, and hospital outpatient departments, as costs can vary dramatically by facility type. Ask about self-pay discounts and payment plans if you're uninsured, and consider community health centers for income-based pricing. Federally Qualified Health Centers throughout Texas offer sliding fee scales that can reduce costs significantly for qualifying patients.

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

Initial abscess drainage procedures typically cost $80-$232 based on complexity and facility type, while follow-up visits for wound checks or dressing changes are usually much less expensive. Simple follow-ups may cost $50-$100, but additional procedures like re-drainage or culture studies can increase costs. Some providers include one follow-up visit in their initial procedure fee, so ask about bundled pricing when scheduling.

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

Yes, abscess drainage procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). This includes the procedure cost, prescribed antibiotics, and any necessary follow-up care related to the infection. Keep all receipts and documentation for reimbursement, including any travel expenses if you need to visit a specialist outside your local area.

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

While abscess drainage requires in-person treatment, telemedicine consultations in Texas can help determine if professional drainage is necessary, potentially saving unnecessary visits. Initial virtual consultations typically cost $40-$80 and may be covered differently by insurance than in-person visits. Texas expanded telehealth access significantly, making initial assessments more convenient and affordable, though the actual drainage procedure must be performed in person.

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