Complicated or multiple drainage of skin abscess
Medicare pricing data for 36,752 providers across 52 states
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
Complicated or multiple drainage of skin abscess (HCPCS code 10061) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $198.72, but hospitals typically charge $536.14 — a 2.7x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $198.72, your out-of-pocket cost would be approximately $39.74. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.7x more than what Medicare allows for this procedure. Medicare actually pays $150.13 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $236 | $489 | 2,004 | 8,280 | +18.6% |
| New Jersey | $223 | $498 | 1,169 | 4,800 | +12.2% |
| Alaska | $221 | $933 | 113 | 156 | +11.4% |
| District of Columbia | $217 | $627 | 108 | 241 | +9.1% |
| Maryland | $210 | $535 | 755 | 1,907 | +5.6% |
| Connecticut | $209 | $540 | 403 | 969 | +5.1% |
| Hawaii | $207 | $485 | 137 | 351 | +4.4% |
| California | $207 | $507 | 3,859 | 13,071 | +4.0% |
| Illinois | $204 | $478 | 1,375 | 4,635 | +2.7% |
| Massachusetts | $203 | $591 | 984 | 1,931 | +2.0% |
| Florida | $200 | $517 | 3,041 | 9,570 | +0.8% |
| Pennsylvania | $200 | $422 | 1,606 | 4,891 | +0.7% |
| Utah | $198 | $588 | 276 | 591 | -0.2% |
| Michigan | $197 | $460 | 1,199 | 3,001 | -0.8% |
| Rhode Island | $193 | $615 | 137 | 214 | -2.7% |
| Puerto Rico | $193 | $254 | 33 | 106 | -2.8% |
| Virginia | $193 | $581 | 1,067 | 2,254 | -2.9% |
| Delaware | $192 | $574 | 184 | 433 | -3.1% |
| New Hampshire | $191 | $542 | 168 | 302 | -4.1% |
| Washington | $190 | $660 | 889 | 1,311 | -4.6% |
| Texas | $189 | $618 | 2,490 | 5,555 | -4.7% |
| Nevada | $189 | $505 | 307 | 1,013 | -5.1% |
| Colorado | $187 | $708 | 574 | 756 | -5.9% |
| Georgia | $185 | $583 | 1,076 | 2,163 | -6.7% |
| Ohio | $185 | $563 | 1,267 | 2,558 | -7.1% |
| Montana | $184 | $469 | 128 | 168 | -7.3% |
| Arizona | $182 | $644 | 691 | 1,206 | -8.2% |
| Oregon | $182 | $661 | 444 | 621 | -8.3% |
| New Mexico | $182 | $528 | 204 | 398 | -8.4% |
| Wisconsin | $182 | $689 | 525 | 953 | -8.4% |
| Louisiana | $180 | $642 | 779 | 1,796 | -9.3% |
| North Dakota | $180 | $631 | 71 | 92 | -9.3% |
| South Carolina | $180 | $593 | 822 | 1,452 | -9.3% |
| Missouri | $180 | $507 | 678 | 1,324 | -9.4% |
| North Carolina | $180 | $601 | 1,420 | 2,437 | -9.5% |
| Minnesota | $179 | $729 | 357 | 444 | -9.7% |
| Vermont | $179 | $490 | 39 | 52 | -9.9% |
| Indiana | $179 | $530 | 788 | 1,577 | -10.1% |
| Wyoming | $177 | $717 | 62 | 83 | -10.7% |
| Arkansas | $177 | $482 | 336 | 919 | -10.7% |
| West Virginia | $177 | $617 | 174 | 304 | -10.8% |
| South Dakota | $177 | $282 | 91 | 580 | -10.8% |
| Tennessee | $177 | $590 | 796 | 1,687 | -11.0% |
| Maine | $177 | $606 | 121 | 169 | -11.0% |
| Alabama | $177 | $483 | 621 | 1,466 | -11.0% |
| Oklahoma | $175 | $739 | 480 | 747 | -11.9% |
| Iowa | $175 | $562 | 313 | 494 | -12.0% |
| Nebraska | $175 | $503 | 182 | 355 | -12.1% |
| Kansas | $174 | $605 | 272 | 446 | -12.5% |
| Kentucky | $174 | $589 | 540 | 1,032 | -12.7% |
| Mississippi | $173 | $590 | 411 | 936 | -12.8% |
| Idaho | $165 | $630 | 154 | 216 | -16.8% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber