Abscess drainage (complex or multiple) Cost

Abscess drainage (complex or multiple) is a surgical procedure. Prices are from 2268 US hospitals across 52 states, from their machine-readable files.

$524median cash price · 2268 hospitals, 52 statestypically $210–$1,352 depending on the hospital
≈ 2.4× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$921
Cash / self-pay
$524
Insurer-negotiated
$470
Medicare pays
$220
$210$1,352
Median cash $524  ·  Medicare $220  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $524 — about 2.4× the Medicare rate ($220). On the higher side. A fair cash price is usually within ~2× Medicare ($440).

💡 Asking for the cash price instead of the $921 list price could save about $397 (43%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Hills & Dales General Hospital Cass City, MI $81 $399 ★ 4/5 91 min —
University of Michigan Health-Sparrow Eaton Charlotte, MI $81 $137 ★ 1/5 168 min —
University of Michigan Health-Sparrow Carson Carson City, MI $85 $415 ★ 4/5 91 min —
Edward W Sparrow Hospital Lansing, MI $85 $400 ★ 3/5 299 min —
University of Michigan Health-Sparrow Clinton Saint Johns, MI $85 $268 ★ 4/5 182 min —
University Medical Center of El Paso El Paso, TX $85 $356 ★ 3/5 240 min —
Ochsner Medical Center-Kenner Kenner, LA $88 $367 ★ 4/5 147 min —
Lakeland Regional Medical Center Lakeland, FL $88 $6,531 ★ 1/5 155 min —
St Gabriels Hospital Little Falls, MN $88 $272 ★ 4/5 141 min —
Virtua Our Lady of Lourdes Hospital Camden, NJ $88 — ★ 2/5 168 min —
Virtua Willingboro Hospital Willingboro, NJ $88 — ★ 3/5 178 min —
Unity Health-Jacksonville Jacksonville, AR $90 — — 130 min —
Unity Health-Newport Newport, AR $90 — — 103 min —
Bassett Healthcare Cooperstown, NY $92 $286 ★ 2/5 199 min —
UPMC Chautauqua at Wca Jamestown, NY $92 $129 ★ 2/5 171 min —
El Paso Children's Hospital El Paso, TX $92 $330 — — —
Saint Vincent Hospital Erie, PA $93 $195 ★ 4/5 219 min —
Oklahoma Heart Hospital, Llc Oklahoma City, OK $95 $243 ★ 4/5 154 min —
Oklahoma Heart Hospital South, Llc Oklahoma City, OK $95 $243 ★ 5/5 140 min —
Hays Medical Center Hays, KS $95 $434 ★ 3/5 112 min —
Jefferson Hospital Louisville, GA $98 $195 — 99 min —
Jefferson Hospital Jefferson Hills, PA $98 $195 ★ 4/5 170 min —
O'connor Hospital Delhi, NY $98 $129 — 95 min —
Little Falls Hospital Little Falls, NY $99 $115 ★ 2/5 109 min —
Cobleskill Regional Hospital Cobleskill, NY $101 $127 ★ 4/5 111 min —

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Abscess drainage (complex or multiple)

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $524; Medicare pays $220.

InsurerHospitalsNegotiated median
Medicaid 327
$59
$9 – $407
Medicare 528
$88
$14 – $464
Univera 15
$152
$15 – $199
Amerigroup 164
$156
$98 – $494
Highmark 133
$195
$18 – $886
Priority Health 56
$241
$125 – $595
Molina Healthcare 575
$246
$65 – $1,209
AmeriHealth 215
$272
$55 – $990
Tricare / VA 381
$272
$65 – $520
Geisinger 75
$301
$69 – $1,028
Independent Health 36
$302
$78 – $733
Blue Cross Blue Shield 1286
$332
$26 – $1,376
Centene / Ambetter 803
$333
$52 – $1,150
Anthem 551
$366
$26 – $2,626
Harvard Pilgrim 43
$383
$167 – $848
MVP Health Care 78
$383
$151 – $1,254
Devoted Health 160
$387
$209 – $449
Humana 1014
$388
$90 – $2,471
UPMC Health Plan 106
$396
$68 – $1,101
UCare 77
$404
$140 – $838
Workers' Comp / No-Fault 122
$405
$182 – $807
Kaiser Permanente 222
$407
$65 – $1,190
HealthPartners 231
$422
$68 – $899
UnitedHealthcare 1498
$429
$118 – $2,174
Coventry 141
$470
$110 – $1,029
Medica 218
$473
$189 – $1,053
Sanford Health Plan 74
$485
$173 – $707
Aetna 1375
$495
$138 – $3,155
Health Net 288
$498
$57 – $1,606
SelectHealth 46
$508
$181 – $4,882
Security Health Plan 59
$518
$173 – $771
AvMed 59
$603
$407 – $8,253
EmblemHealth 74
$632
$286 – $5,014
MultiPlan / PHCS network 775
$663
$203 – $1,423
Bright Health 57
$827
$541 – $2,644
Cigna 1137
$964
$203 – $6,474
Healthcare Highways 46
$2,069
$444 – $14,612
Oscar Health 234
$2,236
$339 – $3,543

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Utah$201
Puerto Rico$250
Mississippi$266
Tennessee$271
Louisiana$289
Michigan$294

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

Does Medicare cover Abscess drainage (complex or multiple)?

Yes — Medicare generally covers Abscess drainage (complex or multiple). It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $220. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $44 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 2268 US hospitals across 52 states, the typical (median) cash price is $524, versus a chargemaster (list) price around $921, a median insurer-negotiated rate of $470, a Medicare rate of about $220. Most cash prices fall between $210 and $1,352 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Abscess drainage (complex or multiple) cost without insurance?
The median cash (self-pay) price across 2268 US hospitals is $524. Most hospitals fall between $210 and $1,352. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Abscess drainage (complex or multiple)?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $220). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Abscess drainage (complex or multiple)?
Medicare pays about $220. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Abscess drainage (complex or multiple) prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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