Negative pressure wound therapy, up to 50 sq cm

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

HC WOUND THRP W/DME <50 SQ CM

Payers reporting CPT 97605

72 payers file a negotiated rate for this code. Each is shown once, under the terms the most hospitals file it under; rates under different terms (billing class, payment method, setting) are never blended, so open a payer to see them all. Figures are hospital-level averages; the median is across hospitals.

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1	Aetna fee schedule · outpatient · +42 other terms	668	$199.69	$533.49	$1.05 – $1,814
2	UnitedHealthcare fee schedule · outpatient · +42 other terms	640	$192.94	$286.97	$1.00 – $5,839
3	Blue Cross Blue Shield fee schedule · outpatient · +38 other terms	529	$219.30	$303.22	$0.01 – $1,771
4	Humana fee schedule · outpatient · +36 other terms	513	$190.40	$178.15	$1.10 – $8,334
5	WellCare fee schedule · outpatient · +28 other terms	313	$83.07	$124.44	$20.82 – $503.32
6	Cigna fee schedule · outpatient · +40 other terms	288	$215.15	$306.30	$14.03 – $10,937
7	Molina fee schedule · outpatient · +34 other terms	252	$181.74	$183.14	$1.05 – $1,562
8	Devoted fee schedule · outpatient · +22 other terms	187	$42.19	$80.50	$22.72 – $224.49
9	Anthem fee schedule · outpatient · +37 other terms	168	$187.54	$285.95	$4.14 – $4,375
10	Cigna Healthspring fee schedule · outpatient · +11 other terms	139	$44.09	$80.54	$38.43 – $594.87
11	MultiPlan fee schedule · outpatient · +24 other terms	132	$362.10	$554.47	$14.88 – $3,298
12	Kaiser fee schedule · outpatient · +29 other terms	126	$285.60	$314.15	$18.37 – $1,420
13	Ambetter facility · fee schedule · outpatient · +25 other terms	94	$341.67	$325.50	$28.07 – $7,071
14	Tricare facility · fee schedule · outpatient · +23 other terms	86	$192.52	$376.41	$18.73 – $10,834
15	Oscar fee schedule · outpatient · +24 other terms	71	$253.84	$228.02	$1.00 – $572.88
16	Highmark facility · fee schedule · outpatient · +24 other terms	70	$228.80	$269.94	$18.27 – $1,089
17	Caresource fee schedule · outpatient · +27 other terms	65	$206.58	$220.80	$1.08 – $381.15
18	Optum fee schedule · outpatient · +28 other terms	61	$102.10	$173.86	$20.82 – $740.60
19	First Health fee schedule · outpatient · +25 other terms	53	$345.80	$506.12	$25.74 – $1,229
20	Clover fee schedule · outpatient · +16 other terms	49	$197.48	$136.32	$41.57 – $241.98
21	Medicaid facility · fee schedule · outpatient · +21 other terms	48	$151.59	$200.33	$12.33 – $647.56
22	Superior Healthplan fee schedule · outpatient · +6 other terms	48	$44.30	$58.45	$42.88 – $322.48
23	Medicare facility · fee schedule · outpatient · +22 other terms	44	$138.74	$302.62	$16.75 – $22,000
24	Regence professional · fee schedule · outpatient · +24 other terms	44	$32.74	$26.62	$3.27 – $105.41
25	Medica professional · fee schedule · outpatient · +26 other terms	40	$21.18	$32.60	$3.27 – $199.74

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