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Open Drainage of an Abscess Under the Diaphragm

Pennsylvania rates for HCPCS 49040

Drains a pocket of pus that has collected just beneath the diaphragm, the breathing muscle separating the chest from the abdomen, through a surgical incision. The cavity is washed out and a drain is usually left in place. Such collections often follow abdominal surgery, a burst organ, or infection spreading within the abdomen.

Rates data updated July 2026.

How much does Open Drainage of an Abscess Under the Diaphragm cost?

$5,370

Typical facility fee. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5,370 for this service. Most negotiated rates run $1,514 to $7,762.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,370 · 10th to 90th $1,023 to $8,511
$500$1K$2K$5K$10K$20Kfacility $5,370

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$5,370.32
Typical High
$8,511.38
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$8,511.38
Median
$21,379.62
Typical High
$57,543.99
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$1,698.24
Typical High
$36,307.81
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$2,187.76
Typical High
$2,187.76
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$4,786.30
Typical High
$8,511.38
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$831.76
Median
$977.24
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$389.05
Median
$2,290.87
Typical High
$6,309.57

Where Pennsylvania sits

The same service costs 13.5 times more in Maine than in North Dakota. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 11th of 50

$5,370

ME $13,183ND $977

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.