10060

Simple or single drainage of skin abscess

Medicare pricing data for 86,013 providers across 52 states

🤖AI Overview

Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Simple or single drainage of skin abscess (HCPCS code 10060) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $118.41, but hospitals typically charge $265.61 — a 2.2x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$23.68

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $118.41, your out-of-pocket cost would be approximately $23.68. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$118.41
Average Hospital Charge
$265.61
Markup Ratio
2.2x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$265.61
Medicare Allowed$118.41
Medicare Payment$86.63

Hospitals charge 2.2x more than what Medicare allows for this procedure. Medicare actually pays $86.63 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
New York$137$2764,87027,872+16.0%
New Jersey$133$2682,69613,684+12.2%
District of Columbia$132$308200520+11.8%
Alaska$129$555307517+8.7%
California$128$2597,34432,721+7.7%
Maryland$127$2641,8587,264+7.0%
Connecticut$126$2679263,039+6.0%
Massachusetts$124$3142,3047,191+4.7%
Hawaii$122$268305868+3.3%
Illinois$120$2633,10712,048+0.9%
Rhode Island$119$2723121,074+0.6%
Michigan$118$2253,00412,767-0.2%
Virginia$118$2472,4687,964-0.3%
Colorado$117$3081,4452,827-0.8%
Pennsylvania$117$2234,26113,873-1.0%
Nevada$117$2345612,332-1.6%
Delaware$116$247334988-2.0%
Florida$116$2385,90127,778-2.2%
Washington$115$3081,8603,597-2.6%
Puerto Rico$113$16179167-4.4%
Arizona$113$2631,8145,994-4.6%
Texas$113$3015,21613,168-4.9%
Wyoming$111$276182398-6.4%
Oregon$111$3121,1112,077-6.5%
New Hampshire$111$3415461,099-6.6%
Georgia$110$2842,2676,919-7.0%
Ohio$110$2513,2768,725-7.5%
Utah$109$2427841,693-7.8%
Minnesota$109$3861,3712,069-8.2%
North Carolina$108$2783,2557,724-8.7%
South Carolina$108$2671,7584,432-8.7%
Louisiana$108$2841,4294,046-8.9%
Missouri$107$2541,6583,976-9.4%
Montana$107$253407747-9.8%
Wisconsin$106$4571,5832,646-10.2%
Indiana$106$2572,0224,311-10.7%
New Mexico$105$2765571,142-10.9%
North Dakota$105$300286513-11.1%
Iowa$105$3001,1282,782-11.3%
Oklahoma$105$2611,2402,602-11.5%
Tennessee$105$2651,9084,567-11.7%
Kansas$105$2529542,281-11.7%
Maine$104$298405651-11.8%
Alabama$104$2211,3083,243-12.0%
Vermont$104$254203383-12.3%
Nebraska$103$2707011,486-12.6%
Arkansas$102$2419372,256-13.5%
Kentucky$102$2491,1482,488-13.5%
West Virginia$102$275468917-13.9%
Mississippi$100$2651,0092,414-15.5%
Idaho$100$2495401,031-15.5%
South Dakota$93$218333754-21.3%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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