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