Cost of a Abscess Drainage Visit
in Vermont
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
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.
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.
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 Vermont
What is the average cost of a Abscess Drainage visit in Vermont without insurance?
Does Vermont Medicaid cover Abscess Drainage visits?
How do I find an affordable Abscess Drainage near me in Vermont?
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 Vermont?
How does telemedicine affect the cost of seeing a Abscess Drainage in Vermont?
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 |