Average Medicaid Wound Care Payments in Rochester, NY: $88.89
Avg. Paid
$88.89
Range
$0.00 – $340.79
Total Claims
5,468
Providers
8
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.
Professional wound care services for chronic and complex wounds, including debridement, dressing changes, and negative pressure wound therapy.
Understanding these costs
The amounts shown are Medicaid reimbursement rates — what state Medicaid programs paid providers per claim. Medicaid typically pays well below private insurance rates and out-of-pocket prices. Use this data to compare relative costs between providers, not as a price estimate for privately insured or self-pay patients.
Providers Offering Wound Care in Rochester, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
Elder One
2066 Hudson Ave |
$0.00 | 3,552 | 1,153 |
|
The Unity Hospital Of Rochester
1555 Long Pond Rd |
$340.79 | 1,213 | 521 |
|
Marni Alynn Mishler
360 Linden Oaks Ste 300 |
$3.75 | 300 | 142 |
|
Rochester General Hospital
1425 Portland Ave |
$333.90 | 204 | 137 |
|
Catherine Allen Schroeder
2655 Ridgeway Ave |
$5.29 | 73 | 41 |
|
Karin Gaul
300 Meridian Centre Blvd |
$15.40 | 47 | 28 |
|
Dina Marie Rotoli
1445 Portland Ave |
$21.42 | 41 | 27 |
|
John Ellie
1500 Portland Ave |
$37.52 | 38 | 28 |
What to Expect: Wound Care
Wound care visits typically last 30-60 minutes. The provider examines the wound, measures it, removes dead tissue if needed (debridement), applies appropriate dressings, and may use specialized therapies. Visit frequency depends on wound severity — from daily to weekly. You'll receive instructions for wound care at home between visits.
Cost Components
National average Medicaid payment per billing code. Individual rates vary by provider and state.
| 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 are national Medicaid averages for each billing code. Actual amounts vary by state, provider, and complexity.
Frequently Asked Questions
How much does a Wound Care cost in Rochester, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Wound Care in Rochester, NY is $88.89 per claim, based on 5,468 claims from 8 providers. Typical payments fall between $11.27 and $42.99. Note: Medicaid rates are typically much lower than private insurance or self-pay prices.
How many providers offer Wound Care in Rochester, NY?
There are 8 Medicaid providers offering Wound Care related services in Rochester, NY according to public payment data.
What is the price range for Wound Care in Rochester, NY?
Medicaid reimbursement for Wound Care in Rochester, NY ranges from $0.00 to $340.79 per claim, with an average of $88.89. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Wound Care in Other Cities
San Juan, PR
Avg $81.97
76,725 claims · 2 providers
Orlando, FL
Avg $136.95
46,255 claims · 4 providers
Bakersfield, CA
Avg $58.18
27,726 claims · 21 providers
Colton, CA
Avg $27.92
24,391 claims · 2 providers
Hartford, CT
Avg $56.52
21,882 claims · 16 providers
Hollywood, FL
Avg $156.37
21,808 claims · 1 providers
Albuquerque, NM
Avg $63.23
20,575 claims · 7 providers
Richmond, VA
Avg $123.38
20,436 claims · 10 providers
Other Procedures in Rochester, NY
Home Health Visit
Avg $155.96
4,468,559 claims
Blood Work & Lab Tests
Avg $13.58
3,406,771 claims
Office Visit
Avg $80.81
3,372,720 claims
Emergency Room Visit
Avg $129.50
1,243,277 claims
Case Management Services
Avg $416.23
1,188,020 claims
Psychiatric Evaluation
Avg $142.49
1,087,559 claims
Substance Abuse Treatment
Avg $66.55
788,422 claims
Physical Therapy
Avg $59.14
727,107 claims