How Much Does Incision & Drainage of Abscess Cost in Massachusetts?
I&d abscess simple/single
$139.49In-office total2026 Medicare, Massachusetts averageUnder 2026 Medicare rates, incision & drainage of abscess in a doctor's office costs about $139 in Massachusetts, from $133 in Rest of Massachusetts to $146 in Metropolitan Boston, with no separate facility fee. In a facility the national total is about $306 at a hospital outpatient department or about $185 at an ambulatory surgery center, because the facility is paid its own rate on top of the physician.
- ✓Your ZIP's wage-adjusted hospital and surgery center rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Massachusetts Medicare physician rate (2026)
+8.5% vs nationalAverage of 2 localities. Office range $132.83–$146.14.
What it costs in a hospital or surgery center
In a doctor’s office, the office rate above is the whole Medicare payment. When the same procedure is done in a hospital or surgery center, the facility bills its own fee on top of the physician, which is what these totals show. They are 2026 national Medicare amounts.
Choosing a surgery center 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 center.
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 Massachusetts
Look up your ZIP to see whether metro Boston or rest-of-state pricing applies, from Boston and Cambridge to Worcester, Springfield, the North and South Shores, and Cape Cod.
What incision & drainage of abscess costs at hospitals near you
Everything above is a national average. The hospital you pick in Massachusetts moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
For example 01001.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
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 center 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 Massachusetts the office and hospital physician lines for this CPT differ by $31.53.
National vs Massachusetts
Where Massachusetts ranks for this CPT
CPT 10060 by Massachusetts locality
| Locality | Office |
|---|---|
| metropolitan boston | $146.14 |
| rest of massachusetts | $132.83 |
PE GPCI ranges from 1.053 to 1.194 in Massachusetts. That index is why the same CPT is not one price statewide.
Incision & Drainage of Abscess and how Massachusetts is priced
Massachusetts is priced through two localities: metro Boston and the rest of the state. Boston's locality carries clearly higher geographic adjustments, reflecting some of the highest medical wages and office costs in the nation, while Worcester, Springfield, and the Cape share the lower rest-of-state factors. The split means the fee schedule itself acknowledges what everyone in the state already knows about Boston prices. Even so, rest-of-state Massachusetts still prices above most of the country.
Boston has arguably the densest concentration of academic medical centers anywhere, and its teaching hospitals pull referrals from all of New England and beyond. That prestige comes with a high-cost market structure that state policymakers have scrutinized for years. Western Massachusetts operates more like a regional market centered on Springfield, and Cape and islands residents contend with seasonal capacity strain.
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?
Other featured procedures in Massachusetts
Incision & Drainage of Abscess in other states
Incision & Drainage of Abscess in Massachusetts: questions
Under 2026 Medicare rates, incision & drainage of abscess in a doctor's office costs about $139 in Massachusetts, from $133 in Rest of Massachusetts to $146 in Metropolitan Boston, with no separate facility fee. In a facility the national total is about $306 at a hospital outpatient department or about $185 at an ambulatory surgery center, because the facility is paid its own rate on top of the physician. Enter a ZIP for the exact Massachusetts locality.
Yes. CMS splits Massachusetts into 2 payment localities. For this CPT the office physician fee spans $13.31 from the lowest to highest locality. Look up your ZIP to see whether metro Boston or rest-of-state pricing applies, from Boston and Cambridge to Worcester, Springfield, the North and South Shores, and Cape Cod.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $28 for the office physician line or $22 for the hospital physician line in Massachusetts. Medigap may cover that 20%. This is not the hospital facility fee.
In a doctor's office, $139.49 is Medicare's whole payment in Massachusetts: it covers the physician, the room and the supplies, with no separate facility fee. If it is done in a hospital outpatient department instead, the physician is paid about $107.96 and the hospital adds its own facility payment, bringing the national total to about $306. Services billed under other codes, such as lab work, are extra. Massachusetts ranks #45 of 51 states on the office rate (8% above the national office rate of $128.59).