Abscess incision and drainage Cost by Hospital

Abscess incision and drainage is a surgical procedure. Prices are from 2389 US hospitals across 52 states, from their machine-readable files.

$409median cash price · 2389 hospitals, 52 statestypically $171–$1,053 depending on the hospital
≈ 2.3× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$713
Cash / self-pay
$409
Insurer-negotiated
$370
Medicare pays
$174
$171$1,053
Median cash $409  ·  Medicare $174  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $409 — about 2.3× the Medicare rate ($174). On the higher side. A fair cash price is usually within ~2× Medicare ($349).

💡 Asking for the cash price instead of the $713 list price could save about $304 (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
Newark-Wayne Community Hospital Newark, NY $66 $185 ★ 2/5 205 min —
University of Michigan Health-Sparrow Carson Carson City, MI $68 $234 ★ 4/5 91 min —
Edward W Sparrow Hospital Lansing, MI $68 $214 ★ 3/5 299 min —
University of Michigan Health-Sparrow Clinton Saint Johns, MI $68 $179 ★ 4/5 182 min —
St Gabriels Hospital Little Falls, MN $70 $226 ★ 4/5 141 min —
Saint Vincent Hospital Erie, PA $73 $190 ★ 4/5 219 min —
Dominican Hospital Santa Cruz, CA $73 $530 ★ 4/5 183 min —
Unity Health-Jacksonville Jacksonville, AR $75 — — 130 min —
Unity Health-Newport Newport, AR $75 — — 103 min —
Byrd Regional Hospital Leesville, LA $77 $180 ★ 2/5 121 min —
Freedom Behavioral Hospital of Leesville Leesville, LA $77 $180 — — —
Jefferson Hospital Louisville, GA $77 $180 — 99 min —
Jefferson Hospital Jefferson Hills, PA $77 $180 ★ 4/5 170 min —
O'connor Hospital Delhi, NY $78 $124 — 95 min —
Little Falls Hospital Little Falls, NY $78 $101 ★ 2/5 109 min —
Cobleskill Regional Hospital Cobleskill, NY $78 $120 ★ 4/5 111 min —
Ascension Via Christi Hospital Manhattan, Inc Manhattan, KS $80 $202 ★ 4/5 142 min —
North Central Surgical Center Llp Dallas, TX $80 $3,986 — 108 min —
Bleckley Memorial Hospital Cochran, GA $81 $150 — 127 min —
Seton Medical Center Harker Heights Harker Heights, TX $83 $276 ★ 4/5 174 min —
Bassett Healthcare Cooperstown, NY $84 $175 ★ 2/5 199 min —
University Medical Center of El Paso El Paso, TX $85 $265 ★ 3/5 240 min —
Aurelia Osborn Fox Memorial Hospital Oneonta, NY $85 $307 ★ 3/5 132 min —
Hills & Dales General Hospital Cass City, MI $88 $373 ★ 4/5 91 min —
Ochsner Medical Center-Kenner Kenner, LA $88 $359 ★ 4/5 147 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 incision and drainage

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: $409; Medicare pays $174.

InsurerHospitalsNegotiated median
Medicaid 367
$57
$10 – $341
Medicare 578
$90
$16 – $407
Amerigroup 169
$112
$68 – $429
Univera 15
$113
$12 – $196
Highmark 144
$184
$39 – $721
Geisinger 77
$192
$34 – $960
Tricare / VA 407
$193
$53 – $483
Molina Healthcare 594
$193
$60 – $951
AmeriHealth 237
$202
$31 – $931
Centene / Ambetter 835
$212
$47 – $948
Devoted Health 170
$226
$155 – $420
Priority Health 59
$231
$107 – $527
Independent Health 36
$235
$95 – $638
UPMC Health Plan 112
$243
$58 – $936
Humana 1078
$245
$87 – $1,941
Blue Cross Blue Shield 1364
$247
$51 – $1,119
Anthem 585
$261
$51 – $2,716
Kaiser Permanente 235
$265
$56 – $944
UCare 84
$268
$100 – $660
MVP Health Care 81
$314
$121 – $1,018
Workers' Comp / No-Fault 133
$317
$59 – $678
Harvard Pilgrim 46
$323
$137 – $733
HealthPartners 258
$333
$80 – $753
Medica 244
$357
$134 – $995
Sanford Health Plan 84
$361
$107 – $651
Coventry 153
$363
$110 – $951
UnitedHealthcare 1596
$369
$99 – $2,062
Security Health Plan 65
$395
$123 – $771
Health Net 303
$404
$59 – $1,315
Aetna 1470
$407
$109 – $3,043
SelectHealth 46
$407
$183 – $4,882
MultiPlan / PHCS network 825
$539
$178 – $1,199
EmblemHealth 76
$555
$235 – $5,014
AvMed 65
$580
$250 – $8,253
Cigna 1199
$594
$147 – $6,212
Bright Health 57
$827
$407 – $2,644
Healthcare Highways 47
$2,069
$259 – $14,320
Oscar Health 244
$2,236
$169 – $3,100

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
Mississippi$208
Utah$208
Vermont$229
New Hampshire$232
Louisiana$234
Tennessee$253

Prices by city

Chicago, ILPhiladelphia, PAAustin, TXDallas, TXHouston, TXFort Worth, TXPittsburgh, PABaltimore, MDCincinnati, OHNew York, NYSacramento, CABrooklyn, NYKansas City, MOOklahoma City, OKBronx, NYCharlotte, NCCleveland, OHLos Angeles, CANashville, TNPlano, TXSaint Louis, MOArlington, TXBaton Rouge, LABirmingham, AL

Prices by state

TexasCaliforniaOhioPennsylvaniaFloridaWisconsinNew YorkIllinoisMinnesotaNorth CarolinaMichiganLouisianaGeorgiaTennesseeMissouriIowaColoradoNebraskaOklahomaKentuckyArkansasKansasIndianaWashingtonVirginiaArizonaSouth DakotaMississippiMassachusettsWest VirginiaAlabamaMaineNew JerseySouth CarolinaMarylandNorth DakotaOregonMontanaIdahoConnecticutNew HampshireUtahNevadaNew MexicoHawaiiWyomingPuerto RicoVermontDelawareRhode IslandAlaskaWashington DC

Does Medicare cover Abscess incision and drainage?

Yes — Medicare generally covers Abscess incision and drainage. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $174. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $35 — 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 2389 US hospitals across 52 states, the typical (median) cash price is $409, versus a chargemaster (list) price around $713, a median insurer-negotiated rate of $370, a Medicare rate of about $174. Most cash prices fall between $171 and $1,053 — 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 incision and drainage cost without insurance?
The median cash (self-pay) price across 2389 US hospitals is $409. Most hospitals fall between $171 and $1,053. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Abscess incision and drainage?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $174). 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 incision and drainage?
Medicare pays about $174. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Abscess incision and drainage 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.

Related Surgery & Procedures

Abscess drainage (simple)Abscess drainage (complex or multiple)Simple wound stitchesForeign body removal (skin)Burn treatmentSimple laceration repair (small, up to 2.5 cm)Burn dressing and debridement (small)Skin biopsy

See more Surgery & Procedures.