Based on public Medicaid payment data.

Average Medicaid Wound Care Payments

Typical Medicaid Wound Care reimbursement across 1,195 cities

Avg. Medicaid Paid

$52.79

Price Range

$0.00 – $607.78

Total Claims

1.6M

Cities

1195

Typical Payment Range

Typical Medicaid Wound Care payments fall between $11.27 and $42.99 per claim (median: $20.79). The top 10% of payments exceed $80.98.

Based on per-provider averages across all Medicaid claims in this category.

About This Procedure

Professional wound care services for chronic and complex wounds, including debridement, dressing changes, and negative pressure wound therapy.

Why do these costs look low?

These figures represent Medicaid reimbursement rates — the amounts that state Medicaid programs actually paid providers. Medicaid typically reimburses significantly less than private insurance or out-of-pocket prices. If you have private insurance or are paying cash, expect higher costs. See the cost components below for per-code averages.

Costs by City

City	Avg. Paid	Min / Max	Claims	Providers
San Juan, PR	$81.97	$9.24 – $81.98	76,725	2
Orlando, FL	$136.95	$4.76 – $143.38	46,255	4
Bakersfield, CA	$58.18	$0.00 – $146.96	27,726	21
Colton, CA	$27.92	$27.79 – $32.29	24,391	2
Hartford, CT	$56.52	$6.96 – $98.91	21,882	16
Hollywood, FL	$156.37	$156.37 – $156.37	21,808	1
Albuquerque, NM	$63.23	$3.86 – $98.57	20,575	7
Richmond, VA	$123.38	$20.65 – $144.69	20,436	10
San Diego, CA	$41.67	$0.00 – $145.39	19,710	15
Henderson, NV	$41.80	$2.36 – $41.88	18,925	3
Los Angeles, CA	$165.94	$0.00 – $181.50	18,799	13
Miramar, FL	$9.06	$-0.50 – $41.74	17,908	43
Lodi, CA	$50.78	$15.31 – $53.90	17,738	4
Sacramento, CA	$2.94	$0.00 – $111.01	15,121	6
Glasgow, KY	$35.54	$11.97 – $53.88	14,065	5
Milwaukee, WI	$36.92	$3.47 – $57.85	13,859	26
Chicago, IL	$9.59	$0.00 – $55.29	13,411	23
Hopkinsville, KY	$28.80	$12.75 – $49.86	13,222	7
New Britain, CT	$24.34	$5.45 – $36.93	13,167	6
Sayre, PA	$151.22	$3.07 – $268.91	11,545	5
Oxnard, CA	$27.53	$1.81 – $41.69	11,385	3
Dallas, TX	$57.02	$0.00 – $216.54	10,782	25
Paducah, KY	$94.40	$12.13 – $137.23	10,602	7
Springfield, MA	$51.40	$4.88 – $106.80	10,342	10
Vancouver, WA	$15.18	$2.99 – $25.19	10,084	6
Newport News, VA	$80.93	$16.97 – $154.23	10,081	5
Spokane, WA	$32.56	$6.59 – $46.02	9,952	6
Stockton, CA	$34.13	$17.96 – $39.37	9,743	7
Manchester, CT	$56.71	$11.52 – $59.22	8,981	2
Corona, CA	$91.99	$26.18 – $93.23	8,928	3
Redding, CA	$41.69	$5.38 – $73.70	8,776	16
Johnson City, TN	$13.36	$4.96 – $22.31	8,461	10
Washington, DC	$164.84	$2.20 – $207.94	8,161	9
Anchorage, AK	$83.73	$41.11 – $84.97	8,091	4
West Plains, MO	$27.21	$23.43 – $27.92	7,728	2
Davenport, IA	$43.97	$28.57 – $60.77	7,346	6
Goldsboro, NC	$22.73	$2.08 – $26.30	7,168	4
Manchester, NH	$37.05	$14.15 – $41.32	7,019	6
Tucson, AZ	$46.26	$6.62 – $65.12	6,984	10
Jackson, TN	$13.41	$12.22 – $15.40	6,858	3
Brooklyn, NY	$24.48	$0.00 – $551.91	6,798	17
Dorado, PR	$67.20	$67.20 – $67.20	6,700	1
La Jolla, CA	$54.43	$38.68 – $54.47	6,621	2
Ashland, KY	$26.16	$8.10 – $48.35	6,586	6
Phoenix, AZ	$89.93	$10.07 – $134.36	6,461	14
Soldotna, AK	$53.40	$53.40 – $53.40	6,369	1
Green Bay, WI	$31.16	$11.43 – $42.20	6,351	6
Grand Rapids, MI	$39.38	$14.70 – $78.67	6,192	7
Prescott, AZ	$64.68	$15.74 – $78.56	6,046	2
Tupelo, MS	$41.19	$3.47 – $54.00	5,944	3

Cost Components

National averages for each billing code in this procedure category. Sorted by claim volume.

Code	Description	Avg. Paid	Claims	Providers
97597	Debridement wound selective	$47.15	1,386,969	2,396
97602	Wound care non-selective	$66.92	254,704	266
97598	Debridement wound select addl	$94.94	31,803	71
97606	Negative pressure wound tx lg	$199.01	4,823	1
97605	Negative pressure wound tx sm	$43.36	3,865	23
97607	Neg pressure wound tx <50 cm2	$20.22	2,900	8
97608	Neg pressure wound tx >50 cm2	—	—	—

These averages group common billing codes used when providers bill Medicaid for this procedure. Individual costs will vary.