Negative pressure wound therapy, wound 50 sq cm or smaller

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

Therapy procedure using a special bandage, vacuum pump and disposable medical equipment, surface area 50.0 sq cm or less

Payers reporting CPT 97607

Payer pricing summary

Low

$134

Average

$1.2k

Median

$500

High

$15.3k

Payer rate distribution

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#
1	Aetna fee schedule · outpatient · +41 other terms	641	$402	$367	$416	114%	13	$1 – $8.4k
2	Humana fee schedule · outpatient · +34 other terms	484	$386	$376	$250	67%	13	$1 – $3.6k
3	Cigna fee schedule · outpatient · +36 other terms	260	$403	$312	$551	177%	13	$15 – $10.9k
4	First Health fee schedule · outpatient · +22 other terms	50	$689	$676	$351	52%	13	$22 – $1.6k
5	UnitedHealthcare fee schedule · outpatient · +42 other terms	597	$382	$467	$629	135%	5–50	$1 – $11.7k
6	Blue Cross Blue Shield fee schedule · outpatient · +37 other terms	495	$367	$340	$550	162%	1–10	$1 – $8.3k
7	Medica fee schedule · outpatient · +24 other terms	32	$240	$232	$239	103%	1–10	$15 – $975
8	WellCare fee schedule · outpatient · +25 other terms	278	$377	$397	$106	27%	—	$20 – $936
9	Molina fee schedule · outpatient · +31 other terms	239	$456	$460	$268	58%	—	$1 – $2.0k
10	Devoted fee schedule · outpatient · +20 other terms	194	$366	$355	$78	22%	—	$20 – $454
11	Anthem fee schedule · outpatient · +32 other terms	154	$388	$379	$577	152%	—	$10 – $4.4k
12	Cigna Healthspring fee schedule · outpatient · +9 other terms	136	$378	$380	$88	23%	—	$277 – $1.7k
13	Kaiser fee schedule · outpatient · +27 other terms	120	$508	$584	$442	76%	—	$13 – $2.9k
14	Ambetter facility · fee schedule · outpatient · +26 other terms	101	$727	$803	$719	89%	—	$24 – $7.1k
15	MultiPlan fee schedule · outpatient · +23 other terms	99	$671	$724	$358	49%	—	$18 – $1.9k
16	Tricare facility · fee schedule · outpatient · +23 other terms	74	$408	$903	$1.9k	208%	—	$16 – $12.0k
17	Optum fee schedule · outpatient · +25 other terms	73	$367	$381	$245	64%	—	$20 – $1.5k
18	Oscar fee schedule · outpatient · +24 other terms	72	$511	$565	$295	52%	—	$1 – $1.2k
19	Caresource fee schedule · outpatient · +23 other terms	52	$373	$319	$169	53%	—	$1 – $883
20	Highmark facility · fee schedule · outpatient · +21 other terms	52	$463	$459	$421	92%	—	$16 – $1.4k
21	Clover fee schedule · outpatient · +13 other terms	49	$397	$398	$47	12%	—	$333 – $490
22	Superior Healthplan fee schedule · outpatient · +6 other terms	45	$384	$382	$24	6%	—	$365 – $653
23	Medicaid facility · fee schedule · outpatient · +18 other terms	39	$341	$389	$168	43%	—	$66 – $1.1k
24	Regence professional · fee schedule · outpatient · +22 other terms	39	$183	$203	$307	151%	—	$17 – $1.2k
25	Medicare facility · fee schedule · outpatient · +19 other terms	37	$419	$829	$2.5k	299%	—	$17 – $22k

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