☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC

☀️medprice.ai
ExamplesConnectHospitalsCodesRequest dataGet access
  1. Home
  2. /Codes
  3. /HCPCS
  4. /97607
  5. /Case rate
HCPCS 97607

NEG PRES WND NO DME </=50CM CQ

Reported by 19 hospitals in the network under the case rate methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated flat case rate paid per episode of care, rather than itemized charges.

National pricing summary

Low

$33

Average

$644

Median

$279

High

$3.0k

Hospitals reporting this code

#HospitalLocation
1Spring Valley Hospital Medical CenterLas Vegas, NV—$36$36—$0
2Valley Health Speciality HospitalLas Vegas, NV—$36$36—$0
3Summerlin Hospital Medical CenterLas Vegas, NV—$36$36—$0
4West Henderson HospitalNV 89052, NV—$36$36—$0
5Henderson HospitalHenderson, NV—$36$36—$0
6Centennial HillsLas Vegas, NV—$36$36—$0
7Northwest Texas Healthcare SystemAmarillo, TX—$1.8k$1.8k——
8St. Mary's Regional Medical CenterEnid, OK—$85$85——
9Ukiah Adventist HospitalUkiah, CA$255$298$308$1.0k$37
10Sonora Community HospitalSonora, CA$243$270$279$1.0k$34
Page 1 of 2

Look up this code directly

Ask Claude or any MCP client for HCPCS 97607 pricing at a specific hospital — see how to connect.

☀️medprice.ai— democratizing access to medical markets
ConnectHospitalsMCP ServerTermsPrivacyContact

© 2026 Medprice AI LLC