Vermont

Cost of a Abscess Drainage Visit
in Vermont

Name: Abscess Drainage (I&D) Cost in Vermont (2026)
Creator: Jayant Panwar
Published: 2026-03-18

Reviewed by Momentary Medical Group West PC

Vermont's predominantly rural geography creates unique challenges for accessing specialized medical procedures like Abscess Drainage, with many residents traveling significant distances to reach one of the state's 340 active providers. Patients typically pay between $95 and $290 for an Abscess Drainage procedure, with a median out-of-pocket cost of $148. The Green Mountain State's healthcare market offers competitive options through major insurers like Blue Cross Blue Shield of Vermont and MVP Health Care, allowing patients to browse all Abscess Drainage providers across the state's diverse medical landscape.

Average

$178

Median

$148

Lowest

$95

Highest

$290

Providers

340

National avg: $180Vermont: $178

1% below national average

Compare Similar Procedures

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

Procedure	CPT	Low	Median	High	Providers
Skin Biopsy Tangential biopsy of skin	11102	$73	$125	$249	338
Joint Injection Injection into a major joint or bursa	20610	$48	$75	$152	339
Blood Draw (Venipuncture) Routine venipuncture for blood sample	36415	$2	$4	$73	362

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.

Full data methodology and glossary

Why Abscess Drainage Visit Costs Vary Across Vermont

Vermont's healthcare costs run approximately 15% above the national average, reflecting the state's rural geography and smaller provider pools that limit competitive pricing. The Green Mountain State's scattered population across mountainous terrain creates unique access challenges that influence both provider availability and cost structures.

Urban vs. Rural Provider Availability

Burlington and the Chittenden County area concentrate most specialist services, forcing rural Vermonters to travel significant distances for Abscess Drainage procedures. This geographic disparity creates higher costs in rural areas due to limited competition, while urban centers benefit from multiple provider options. The state's 340 active providers are unevenly distributed, with some counties having minimal specialist coverage.

Facility Type and Overhead Costs

Hospital-based outpatient clinics dominate Vermont's healthcare landscape through systems like the University of Vermont Medical Center and Southwestern Vermont Health Care. These facilities typically charge higher facility fees compared to independent practices, reflecting their higher overhead costs and comprehensive service offerings. Stand-alone surgical centers and urgent care facilities offer cost alternatives but have limited geographic distribution across the state.

Insurance Market Competition in Vermont

The Vermont insurance market features limited competition with Blue Cross Blue Shield of Vermont and MVP Health Care controlling the majority of covered lives. This concentrated market can lead to less aggressive rate negotiations compared to more competitive states, contributing to higher overall healthcare costs. The state's small population base limits insurer interest in market entry, maintaining the current duopoly structure.

Physician Supply and Demand in Vermont

Vermont's 340 active Abscess Drainage providers serve a population of approximately 645,000, creating adequate supply in urban areas but shortages in rural regions. The state faces ongoing challenges recruiting specialists to rural practices, leading to longer wait times and potentially higher costs in underserved areas. Provider supply concentrates around major medical centers, creating geographic cost variations based on local market dynamics.

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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 Vermont

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

Uninsured patients in Vermont typically pay between $95 and $290 for an Abscess Drainage procedure, with a median cost of $148. These rates reflect negotiated insurance prices and may be higher for cash-pay patients, though many providers offer self-pay discounts of 20-40%. Community health centers and urgent care facilities often provide more affordable options than hospital-based outpatient clinics.

Does Vermont Medicaid cover Abscess Drainage visits?

Yes, Vermont's expanded Medicaid program covers medically necessary Abscess Drainage procedures with minimal patient cost-sharing. Coverage includes both the procedure itself and any necessary follow-up care, antibiotics, or wound care supplies. Patients should verify that their chosen provider accepts Vermont Medicaid, as not all specialists participate in the program.

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

Compare costs between hospital outpatient departments, urgent care centers, and independent practices, as prices can vary significantly based on facility type. Many Vermont providers offer cash-pay discounts for uninsured patients, and community health centers provide sliding-scale fees based on income. Consider traveling to areas with more provider competition, such as the Burlington metropolitan area, for potentially lower costs.

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

Initial Abscess Drainage procedures typically cost between $95-$290 based on complexity and facility type, while follow-up visits for wound checks and dressing changes are generally much less expensive. Simple follow-up appointments may cost $50-$150 depending on the extent of care needed. Many providers include one follow-up visit in the initial procedure fee, so ask about inclusive pricing when scheduling.

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

Yes, Abscess Drainage procedures qualify as eligible medical expenses for both Health Savings Accounts (HSA) and Flexible Spending Accounts (FSA). You can use these pre-tax dollars for the procedure itself, related medications, and necessary wound care supplies. Keep all receipts and documentation for tax purposes, as the IRS may request proof that expenses were medically necessary.

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

While the actual drainage procedure must be performed in person, telemedicine consultations can help determine if drainage is necessary before scheduling an expensive office visit. Vermont providers increasingly offer virtual follow-up appointments after procedures, which cost significantly less than in-person visits. Telehealth consultations typically range from $40-$80 and can help avoid unnecessary emergency room visits for minor post-procedure concerns.

Click a state to compare costs

Average Visit Cost

$92

$317

Office visit (CPT 10060)

Compare With Other States

Rank	State	Average↓	Min⇅	Max⇅	Providers⇅
1	Wisconsin(WI) Range: $73 – $779	$317	$73	$779	7,190
2	North Dakota(ND) Range: $80 – $611	$277	$80	$611	58
3	Iowa(IA) Range: $85 – $502	$267	$85	$502	624
4	Minnesota(MN) Range: $80 – $540	$256	$80	$540	733
5	Massachusetts(MA) Range: $80 – $464	$237	$80	$464	1,389
6	Rhode Island(RI) Range: $80 – $464	$237	$80	$464	88
7	Illinois(IL) Range: $80 – $459	$230	$80	$459	9,075
8	Connecticut(CT) Range: $80 – $464	$230	$80	$464	448
9	Nebraska(NE) Range: $119 – $308	$228	$119	$308	2,198
10	New York(NY) Range: $81 – $464	$227	$81	$464	31,147
11	Delaware(DE) Range: $76 – $464	$219	$76	$464	100
12	Pennsylvania(PA) Range: $73 – $464	$219	$73	$464	1,455
13	Michigan(MI) Range: $80 – $464	$216	$80	$464	2,466
14	West Virginia(WV) Range: $80 – $456	$216	$80	$456	141
15	New Hampshire(NH) Range: $112 – $303	$214	$112	$303	3,686
16	Indiana(IN) Range: $80 – $456	$210	$80	$456	651
17	Georgia(GA) Range: $83 – $397	$209	$83	$397	3,461
18	Wyoming(WY) Range: $80 – $372	$206	$80	$372	189
19	Maine(ME) Range: $126 – $254	$200	$126	$254	1,552
20	Oregon(OR) Range: $80 – $387	$195	$80	$387	418
21	District of Columbia(DC) Range: $76 – $346	$194	$76	$346	360
22	Washington(WA) Range: $80 – $324	$182	$80	$324	4,526
23	South Dakota(SD) Range: $83 – $309	$178	$83	$309	68
24	Vermont(VT) Range: $95 – $290	$178	$95	$290	340
25	New Mexico(NM) Range: $85 – $274	$172	$85	$274	1,264
26	Alaska(AK) Range: $80 – $348	$169	$80	$348	383
27	Colorado(CO) Range: $62 – $309	$168	$62	$309	1,617
28	North Carolina(NC) Range: $77 – $297	$168	$77	$297	2,542
29	Utah(UT) Range: $40 – $278	$168	$40	$278	421
30	Kentucky(KY) Range: $80 – $308	$167	$80	$308	271
31	Hawaii(HI) Range: $80 – $308	$166	$80	$308	98
32	Montana(MT) Range: $80 – $308	$156	$80	$308	314
33	Idaho(ID) Range: $80 – $289	$155	$80	$289	218
34	New Jersey(NJ) Range: $44 – $306	$151	$44	$306	6,608
35	Arkansas(AR) Range: $85 – $224	$149	$85	$224	129
36	Maryland(MD) Range: $71 – $254	$145	$71	$254	4,075
37	Texas(TX) Range: $80 – $233	$142	$80	$233	9,771
38	Virginia(VA) Range: $67 – $244	$140	$67	$244	2,969
39	South Carolina(SC) Range: $80 – $232	$140	$80	$232	1,417
40	Oklahoma(OK) Range: $79 – $227	$137	$79	$227	1,113
41	Tennessee(TN) Range: $83 – $204	$135	$83	$204	2,536
42	Louisiana(LA) Range: $76 – $211	$132	$76	$211	943
43	Missouri(MO) Range: $81 – $178	$131	$81	$178	5,522
44	Kansas(KS) Range: $88 – $177	$129	$88	$177	1,829
45	Alabama(AL) Range: $76 – $203	$127	$76	$203	2,685
46	Ohio(OH) Range: $63 – $206	$124	$63	$206	4,671
47	Arizona(AZ) Range: $80 – $192	$124	$80	$192	5,591
48	Mississippi(MS) Range: $79 – $187	$124	$79	$187	1,303
49	California(CA) Range: $15 – $264	$122	$15	$264	14,233
50	Nevada(NV) Range: $30 – $189	$102	$30	$189	2,772
51	Florida(FL) Range: $35 – $187	$92	$35	$187	5,397