CPT10060

Incision & Drainage of Abscess Cost in Hawaii

I&d abscess simple/single

$306Hospital outpatient total2026 Medicare, physician + facility
Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers.
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Hawaii Medicare physician rate (2026)

+0.4% vs national

Single statewide locality.

Hawaii (Hospital)
$101.05
Facility physician fee
Private plan est.
$168–$258
~130–200% of Medicare
Cash / self-pay est.
$103–$194
~80–150% of Medicare

What the whole procedure costs

The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.

Surgery centre, total
$185
$101 physician + $85 facility
Physician fee alone
$101
Only 33% of the hospital total

Choosing a surgery centre over a hospital saves about $120 on the Medicare allowed amount for incision & drainage of abscess. Ask whether your procedure can be done at an ambulatory surgery centre.

This is Medicare's separate payment to the facility on top of the physician's fee. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.

Your ZIP in Hawaii

Enter your ZIP code for Hawaii figures, whether you live on Oahu, in Hilo or Kona on the Big Island, or on Maui or Kauai where a Honolulu trip is often part of the plan.

What incision & drainage of abscess costs at hospitals near you

Everything above is a national average. The hospital you pick in Hawaii moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

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What these numbers are

Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery centre rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In Hawaii the office and hospital physician lines for this CPT differ by $28.06.

National vs Hawaii

National office$128.59
National hospital (physician)$100.54
Hawaii vs nationalwithin 2% of the national office rate of $128.59

Where Hawaii ranks for this CPT

Rank (lowest physician fee first)#36 of 51
Lowest stateArkansas ($114.57)
Highest stateAlaska ($152.01)

Incision & Drainage of Abscess and how Hawaii is priced

Hawaii is priced through a single locality with geographic adjustments well above the mainland norm, driven largely by the practice expense side: rent, staff wages, and supplies all cost more across the islands. Unlike Alaska, Hawaii does not carry a special statutory floor, but its indices still place it among the higher-cost states in the fee schedule. Every island shares the same locality, so Honolulu and Hilo publish the same Medicare-approved amounts. The real variable for residents is which island the care is on, not the rate itself.

Oahu holds the bulk of Hawaii's hospital capacity and nearly all of its subspecialty care, so neighbor island residents routinely fly to Honolulu for procedures, adding airfare and hotel costs to the medical bill. A small number of systems dominate the market, and physician recruitment to the islands is a chronic challenge. For complex or rare conditions, some patients travel on to the mainland West Coast.

This procedure: Incision and drainage of an abscess is a quick office or urgent care procedure for a painful, pus-filled pocket under the skin, often caused by an infected hair follicle or a staph infection. The clinician numbs the area with a local injection, makes a small cut so the abscess can drain, and may pack the cavity with gauze. Most patients are in and out in under 30 minutes and go home the same day with wound care instructions.

What Is Incision & Drainage of Abscess?

Incision and drainage of an abscess is a quick office or urgent care procedure for a painful, pus-filled pocket under the skin, often caused by an infected hair follicle or a staph infection. The clinician numbs the area with a local injection, makes a small cut so the abscess can drain, and may pack the cavity with gauze. Most patients are in and out in under 30 minutes and go home the same day with wound care instructions.

What Affects the Cost

  • Where you go matters enormously: the same drainage in an emergency department can cost several times what a primary care office or urgent care clinic charges.
  • If the drained material is sent for a wound culture to identify the bacteria, the lab bills that test separately.
  • A prescription antibiotic afterward, especially a brand-name drug for resistant staph, adds pharmacy cost on top of the procedure.
  • Packing changes or a recheck visit a few days later are usually billed as separate follow-up encounters.
  • A larger or deeper abscess may be coded as complicated (CPT 10061), which pays at a higher rate than this simple, single-abscess code.

Questions to Ask Before Booking

  • 1.Can this be handled at urgent care or your office instead of the emergency department?
  • 2.Will you send a culture to the lab, and what will that test cost me?
  • 3.Is a follow-up packing change included, or is each recheck billed as a separate visit?
  • 4.Will I be billed a facility fee on top of your fee at this location?
  • 5.If the abscess is more complicated than expected, does the billing code and price change?

Incision & Drainage of Abscess in Hawaii: questions

Hawaii is a single Medicare locality for this fee schedule. The 2026 physician rate for CPT 10060 is $129.11 in an office and $101.05 in a hospital, statewide. A ZIP lookup still confirms the locality mapping.

Not on the physician fee schedule. Hawaii uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $26 for the office physician line or $20 for the hospital physician line in Hawaii. Medigap may cover that 20%. This is not the hospital facility fee.

No. $129.11 is only the physician's share. Adding Medicare's facility payment brings the total to about $306 in a hospital outpatient department, or about $185 at an ambulatory surgery centre. Anesthesia, pathology and other codes billed the same day are extra. Hawaii ranks #36 of 51 states on the physician line (within 2% of the national office rate of $128.59).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.