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 |
|---|---|---|---|---|
| Lima, OH | $12.82 | $5.68 – $19.73 | 463 | 3 |
| Senatobia, MS | $56.00 | $56.00 – $56.00 | 464 | 1 |
| Salem, OH | $42.61 | $17.81 – $58.13 | 465 | 2 |
| Black River Falls, WI | $149.28 | $12.48 – $157.38 | 465 | 2 |
| Wheat Ridge, CO | $18.90 | $18.90 – $18.90 | 466 | 1 |
| Porterville, CA | $22.22 | $21.76 – $26.06 | 466 | 2 |
| London, KY | $13.83 | $9.33 – $18.73 | 467 | 3 |
| South Haven, MI | $46.08 | $16.57 – $85.63 | 468 | 2 |
| Jacksonville, IL | $14.40 | $14.40 – $14.40 | 470 | 1 |
| Lynchburg, VA | $15.96 | $8.71 – $19.21 | 471 | 2 |
| Ada, OK | $15.03 | $14.97 – $16.28 | 475 | 2 |
| Baldwin Park, CA | $124.08 | $124.08 – $124.08 | 477 | 1 |
| Vallejo, CA | $4.36 | $0.36 – $13.39 | 482 | 2 |
| Aberdeen, WA | $75.90 | $17.37 – $94.24 | 482 | 2 |
| Fairview Park, OH | $4.46 | $4.46 – $4.46 | 489 | 1 |
| Pikesville, MD | $5.09 | $5.09 – $5.09 | 491 | 1 |
| Eupora, MS | $7.27 | $7.27 – $7.27 | 491 | 1 |
| New London, CT | $75.03 | $75.03 – $75.03 | 496 | 1 |
| Clinton, IA | $23.31 | $0.25 – $25.60 | 498 | 2 |
| Mullica Hill, NJ | $62.11 | $62.11 – $62.11 | 500 | 1 |
| Parkersburg, WV | $59.37 | $59.37 – $59.37 | 502 | 1 |
| Easley, SC | $37.78 | $37.78 – $37.78 | 503 | 1 |
| Morristown, TN | $22.08 | $3.62 – $27.96 | 504 | 4 |
| Hagerstown, MD | $11.09 | $0.00 – $21.01 | 508 | 2 |
| Jellico, TN | $9.75 | $6.69 – $36.15 | 510 | 2 |
| Fresno, CA | $8.30 | $8.30 – $8.30 | 511 | 1 |
| Medford, OR | $48.66 | $30.43 – $55.77 | 516 | 3 |
| Prosser, WA | $54.21 | $24.89 – $55.08 | 519 | 2 |
| Poplar Bluff, MO | $28.67 | $23.17 – $49.22 | 521 | 2 |
| South Weymouth, MA | $168.22 | $168.22 – $168.22 | 521 | 1 |
| Port Townsend, WA | $58.49 | $58.49 – $58.49 | 521 | 1 |
| Danbury, CT | $89.44 | $89.44 – $89.44 | 524 | 1 |
| Johnson Creek, WI | $23.62 | $23.62 – $23.62 | 527 | 1 |
| Eau Claire, WI | $20.89 | $6.47 – $29.81 | 528 | 3 |
| Bandon, OR | $10.73 | $10.73 – $10.73 | 535 | 1 |
| Catano, PR | $64.87 | $64.87 – $64.87 | 536 | 1 |
| Fairbanks, AK | $101.24 | $101.24 – $101.24 | 539 | 1 |
| North Bend, OR | $9.97 | $9.97 – $9.97 | 540 | 1 |
| Elizabeth, NJ | $12.85 | $12.85 – $12.85 | 547 | 1 |
| Buckhannon, WV | $14.41 | $14.41 – $14.41 | 549 | 1 |
| Rockford, IL | $21.93 | $9.54 – $23.99 | 550 | 6 |
| Charlottesville, VA | $116.57 | $22.59 – $213.41 | 552 | 4 |
| Murfreesboro, TN | $21.78 | $16.83 – $22.06 | 554 | 2 |
| Roanoke, VA | $14.53 | $14.53 – $14.53 | 555 | 1 |
| Elizabethtown, KY | $15.78 | $9.08 – $16.04 | 556 | 2 |
| Caguas, PR | $36.84 | $36.84 – $36.84 | 563 | 1 |
| North Chesterfield, VA | $22.23 | $17.72 – $46.40 | 567 | 2 |
| Cincinnati, OH | $35.64 | $1.23 – $113.65 | 569 | 4 |
| Plainfield, IL | $0.21 | $0.21 – $0.21 | 576 | 1 |
| Concord, NH | $20.79 | $14.42 – $21.10 | 577 | 2 |
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.