Surgery & Procedures

CPT Code 10060

Incision and drainage, abscess, simple

National Average Rate
$125.00
CMS non-facility rate
Facility Rate
$100.00
Hospital / outpatient facility
Data Source
CMS Medicare
Physician Fee Schedule 2024

What This Means for Your Bill

  • Medicare pays $125.00 nationally for CPT 10060 in a non-facility (office) setting.
  • In a hospital or outpatient facility the rate drops to $100.00 because the facility bills separately.
  • Private insurers typically pay 110–140% of the Medicare rate, so a fair price is roughly $156–$175.
  • If your bill shows a charge significantly above this, you may have grounds to negotiate or dispute it.

How to Use This Information

1
Find CPT 10060 on your itemized bill — hospitals are required to provide one on request.
2
Compare the charged amount to $125.00 — if your bill is 2× or more, that's a red flag.
3
Use our AI bill analyzer to scan your full bill, flag errors, and get a dispute letter in under 2 minutes.

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Related Tools

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Related Guides
What Are CPT Codes? A Patient's Guide → How to Dispute a Medical Bill →

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