Aspiration of abscess, blood, or cyst
Medicare pricing data for 18,630 providers across 51 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
Aspiration of abscess, blood, or cyst (HCPCS code 10160) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $107.06, but hospitals typically charge $354.26 — a 3.3x 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 $107.06, your out-of-pocket cost would be approximately $21.41. 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 3.3x more than what Medicare allows for this procedure. Medicare actually pays $82.25 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New York | $140 | $338 | 906 | 4,428 | +30.9% |
| New Jersey | $124 | $352 | 608 | 1,597 | +15.4% |
| Alaska | $115 | $487 | 73 | 136 | +7.2% |
| California | $114 | $382 | 1,982 | 6,120 | +6.9% |
| Hawaii | $114 | $315 | 64 | 165 | +6.4% |
| Pennsylvania | $109 | $285 | 969 | 2,824 | +2.1% |
| Florida | $109 | $364 | 1,448 | 4,853 | +1.9% |
| Massachusetts | $109 | $369 | 425 | 709 | +1.9% |
| District of Columbia | $109 | $367 | 51 | 110 | +1.5% |
| Vermont | $108 | $383 | 43 | 102 | +0.6% |
| Delaware | $107 | $333 | 88 | 211 | +0.1% |
| Michigan | $106 | $251 | 647 | 1,971 | -1.3% |
| Virginia | $105 | $327 | 523 | 1,121 | -1.6% |
| Washington | $105 | $334 | 458 | 963 | -2.1% |
| Nevada | $104 | $606 | 125 | 244 | -2.5% |
| Maryland | $104 | $324 | 409 | 1,448 | -3.2% |
| Illinois | $103 | $331 | 645 | 1,850 | -3.7% |
| Colorado | $103 | $415 | 328 | 663 | -4.3% |
| Rhode Island | $102 | $372 | 66 | 103 | -4.7% |
| Connecticut | $101 | $403 | 195 | 388 | -5.4% |
| New Hampshire | $101 | $436 | 89 | 120 | -5.6% |
| New Mexico | $101 | $371 | 107 | 221 | -5.7% |
| Louisiana | $101 | $271 | 291 | 943 | -5.9% |
| Alabama | $100 | $211 | 226 | 458 | -6.1% |
| Kansas | $100 | $266 | 172 | 545 | -6.7% |
| Georgia | $100 | $403 | 428 | 884 | -6.8% |
| Oregon | $100 | $364 | 281 | 579 | -6.9% |
| Utah | $99 | $274 | 183 | 340 | -7.1% |
| Mississippi | $99 | $279 | 187 | 384 | -7.2% |
| Arizona | $99 | $425 | 398 | 1,296 | -7.7% |
| Wyoming | $99 | $384 | 52 | 82 | -7.8% |
| Texas | $98 | $470 | 1,180 | 2,655 | -8.1% |
| Tennessee | $98 | $377 | 435 | 1,181 | -8.8% |
| Iowa | $97 | $353 | 206 | 378 | -9.2% |
| Montana | $96 | $286 | 73 | 118 | -10.1% |
| Oklahoma | $96 | $338 | 239 | 513 | -10.4% |
| Ohio | $96 | $362 | 678 | 1,379 | -10.4% |
| North Dakota | $96 | $390 | 62 | 118 | -10.5% |
| Minnesota | $95 | $419 | 306 | 552 | -11.0% |
| Maine | $95 | $311 | 73 | 93 | -11.1% |
| South Carolina | $95 | $368 | 331 | 750 | -11.5% |
| Wisconsin | $94 | $515 | 308 | 546 | -11.8% |
| Kentucky | $94 | $311 | 199 | 427 | -12.0% |
| North Carolina | $93 | $346 | 645 | 1,649 | -12.7% |
| Nebraska | $93 | $327 | 128 | 384 | -13.2% |
| Arkansas | $92 | $325 | 177 | 400 | -13.8% |
| Indiana | $91 | $313 | 428 | 855 | -15.0% |
| West Virginia | $90 | $363 | 82 | 154 | -15.5% |
| Missouri | $88 | $326 | 396 | 1,191 | -18.0% |
| Idaho | $88 | $425 | 128 | 218 | -18.2% |
| South Dakota | $86 | $302 | 70 | 138 | -19.4% |
⚠️ 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