Average Medicaid Wound Care Payments in Utica, NY: $208.42
Avg. Paid
$208.42
Range
$73.53 – $250.20
Total Claims
3,035
Providers
3
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 Utica, NY
| Provider | Avg. Paid | Claims | Patients |
|---|---|---|---|
|
St Elizabeth Medical Center
2209 Genesee St |
$250.20 | 2,049 | 991 |
|
Mvhs Inc
111 Hospital Dr |
$167.61 | 504 | 229 |
|
Jorge Ferreiro
1656 Champlin Ave |
$73.53 | 482 | 250 |
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 Utica, NY?
Based on public Medicaid payment data, the average Medicaid reimbursement for Wound Care in Utica, NY is $208.42 per claim, based on 3,035 claims from 3 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 Utica, NY?
There are 3 Medicaid providers offering Wound Care related services in Utica, NY according to public payment data.
What is the price range for Wound Care in Utica, NY?
Medicaid reimbursement for Wound Care in Utica, NY ranges from $73.53 to $250.20 per claim, with an average of $208.42. Private insurance and self-pay costs are typically higher than these Medicaid rates.
Wound Care in Other Cities
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Avg $81.97
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Avg $136.95
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Avg $58.18
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Colton, CA
Avg $27.92
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Hartford, CT
Avg $56.52
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Hollywood, FL
Avg $156.37
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Albuquerque, NM
Avg $63.23
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Avg $123.38
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Other Procedures in Utica, NY
Home Health Visit
Avg $146.48
1,418,271 claims
Blood Work & Lab Tests
Avg $8.00
866,904 claims
Office Visit
Avg $81.63
464,991 claims
Psychiatric Evaluation
Avg $105.72
272,745 claims
Case Management Services
Avg $314.51
242,895 claims
Emergency Room Visit
Avg $214.25
190,597 claims
Behavioral & Mental Health Therapy
Avg $80.73
172,741 claims
Urinalysis & Urine Tests
Avg $3.59
119,563 claims