How Much Does Incision and Drainage of Abscess (Complicated) Cost?
Also known as: I&d abscess comp/multiple (CPT 10061)
Drainage of a larger or deeper abscess that requires more extensive treatment.
Incision and Drainage of Abscess (Complicated) (CPT 10061) costs $173 at Medicare rates. Hospital outpatient rate: $415.
Cost Comparison by Payer
How much I&d abscess comp/multiple costs across different settings and payers
Patient Guide: Incision and Drainage of Abscess (Complicated)
What you need to know before your appointment
What to Expect
Under local or general anesthesia, the doctor opens and drains a deep or large abscess. The wound may be packed and may need follow-up wound care.
How Long Does It Take?
30-60 minutes
Common Reasons Doctors Order This
Large abscess, deep tissue infection, perianal abscess, complicated skin infection
How to Prepare
May require fasting if sedation is needed. Follow wound care instructions carefully afterward.
Procedures Commonly Done Together
These procedures are frequently performed alongside I&d abscess comp/multiple
How to Reduce Your Cost for I&d abscess comp/multiple
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
For this procedure, the office rate ($220) differs from the facility rate ($173). Ask if it can be done in an office setting.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
- 4 Check ambulatory surgery centers (ASCs)
This procedure is available at ASCs for $130, compared to $415 at hospital outpatient departments. ASCs often offer lower costs with comparable quality.
How is the Price Calculated?
Medicare calculates procedure payments using Relative Value Units (RVUs). Each procedure has three components multiplied by a conversion factor ($33.40 in 2026) and adjusted by geographic cost indices.
Payment = Total RVU (6.59) x CF ($33.40) = $220
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does I&d abscess comp/multiple cost?
The Medicare facility rate for I&d abscess comp/multiple is $173. In a hospital outpatient setting, the rate is $415. At an ambulatory surgery center, the rate is $130. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does I&d abscess comp/multiple cost without insurance?
Without insurance, the cost of I&d abscess comp/multiple can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover I&d abscess comp/multiple?
Most commercial health insurance plans and Medicare cover I&d abscess comp/multiple when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.