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.
Original text from hospital filings
NPWT DIS NO DME<=50 SQCM LV1
Arlington, TX
See all hospitals reporting CPT 97607 →Price type
AMH Cath Labs LLC’s median price of $418 is about the same as the median hospital's median price ($420), higher than 49% of the 2,213 hospitals reporting CPT 97607. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 9 payers, 31 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Blue Cross Blue Shield exchange fee schedule · outpatient | $34 | $34 | — | — | — | $34 – $34 |
| 2 | Blue Cross Blue Shield hmo fee schedule · outpatient | $65 | $65 | — | — | — | $65 – $65 |
| 3 | Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges | $71 | $72 | $27 | 38% | — | $40 – $107 |
| 4 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $71 | $72 | $27 | 38% | — | $40 – $107 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $73 | $73 | — | — | — | $73 – $73 |
| 6 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $75 | $76 | $29 | 38% | — | $42 – $112 |
| 7 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $77 | $78 | $30 | 38% | — | $43 – $115 |
| 8 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $78 | $80 | $30 | 38% | — | $43 – $117 |
| 9 | Blue Cross Blue Shield traditional fee schedule · outpatient | $192 | $192 | — | — | — | $192 – $192 |
| 10 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $328 | $334 | $126 | 38% | — | $182 – $492 |
| 11 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $409 | $409 | — | — | — | $409 – $409 |
| 12 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $413 | $421 | $159 | 38% | — | $230 – $619 |
| 13 | Humana medicare advantage case rate · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 14 | Humana medicare advantage ppo case rate · outpatient | $425 | $425 | — | — | — | $425 – $425 |
| 15 | Molina medicare advantage case rate · outpatient | $429 | $429 | — | — | — | $429 – $429 |
| 16 | WellCare medicare advantage hmo case rate · outpatient | $429 | $429 | — | — | — | $429 – $429 |
| 17 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $437 | $445 | $168 | 38% | — | $243 – $656 |
| 18 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $438 | $446 | $169 | 38% | — | $243 – $656 |
| 19 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $442 | $450 | $170 | 38% | — | $246 – $662 |
| 20 | WellCare medicare advantage mmp case rate · outpatient | $450 | $450 | — | — | — | $450 – $450 |
| 21 | UnitedHealthcare medicare advantage ppo case rate · outpatient | $454 | $454 | — | — | — | $454 – $454 |
| 22 | UnitedHealthcare medicare advantage hmo case rate · outpatient | $462 | $462 | — | — | — | $462 – $462 |
| 23 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $555 | $565 | $214 | 38% | — | $309 – $832 |
| 24 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $557 | $567 | $214 | 38% | — | $310 – $835 |
| 25 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $560 | $570 | $216 | 38% | — | $311 – $839 |
Last updated: Apr 21, 2026
See Negative pressure wound therapy, wound 50 sq cm or smaller pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.