Negative pressure wound therapy, over 50 square centimeters at Lexington Medical Center

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 NEGATIVE PRESSURE WOUND THERAPY DME >50 SQ CM

Lexington, NC

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How this price compares nationally

Lexington Medical Center’s median price of $103 is 74% below the median hospital's median price ($404), higher than 15% of the 2,336 hospitals reporting CPT 97606. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 97606 at Lexington Medical Center

Negotiated rates from the hospital’s own file: 11 payers, 34 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.

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1	UnitedHealthcare medicaid managed care percent of total billed charges · outpatientfrom % of charges	$44.53	$44.53	$44.53 – $44.53
2	WellCare medicaid managed care percent of total billed charges · outpatientfrom % of charges	$44.53	$44.53	$44.53 – $44.53
3	Medcost employee managed care percent of total billed charges · inpatientfrom % of charges	$51.25	$51.25	$51.25 – $51.25
4	Blue Cross Blue Shield blue local individual percent of total billed charges · outpatientfrom % of charges	$55.69	$55.69	$55.69 – $55.69
5	Medcost employee managed care percent of total billed charges · outpatientfrom % of charges	$65.05	$65.05	$65.05 – $65.05
6	Aetna ivl exchange percent of total billed charges · inpatientfrom % of charges	$66.46	$66.46	$66.46 – $66.46
7	Ambetter managed care percent of total billed charges · outpatientfrom % of charges	$67.16	$67.16	$67.16 – $67.16
8	Aetna ivl exchange percent of total billed charges · outpatientfrom % of charges	$69.97	$69.97	$69.97 – $69.97
9	Oscar managed care percent of total billed charges · outpatientfrom % of charges	$74.88	$74.88	$74.88 – $74.88
10	Blue Cross Blue Shield hpn percent of total billed charges · outpatientfrom % of charges	$74.97	$74.97	$74.97 – $74.97
11	Medcost ultra managed care percent of total billed charges · inpatientfrom % of charges	$79.09	$79.09	$79.09 – $79.09
12	Blue Cross Blue Shield blue value percent of total billed charges · outpatientfrom % of charges	$84.71	$84.71	$84.71 – $84.71
13	Medcost ultra managed care percent of total billed charges · outpatientfrom % of charges	$87.75	$87.75	$87.75 – $87.75
14	Blue Cross Blue Shield hmo/ppo percent of total billed charges · outpatientfrom % of charges	$89.25	$89.25	$89.25 – $89.25
15	UnitedHealthcare iex individual percent of total billed charges · outpatientfrom % of charges	$91.96	$91.96	$91.96 – $91.96
16	UnitedHealthcare medicare advantage other · outpatient	$94.34	$94.34	$94.34 – $94.34
17	Cigna managed care percent of total billed charges · outpatientfrom % of charges	$101.79	$101.79	$101.79 – $101.79
18	Oscar managed care percent of total billed charges · inpatientfrom % of charges	$102.96	$102.96	$102.96 – $102.96
19	Cigna managed care percent of total billed charges · inpatientfrom % of charges	$103.66	$103.66	$103.66 – $103.66
20	UnitedHealthcare managed care percent of total billed charges · outpatientfrom % of charges	$104.83	$104.83	$104.83 – $104.83
21	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$151.63	$151.63	$151.63 – $151.63
22	Medcost mbs and leased managed care percent of total billed charges · outpatientfrom % of charges	$152.10	$152.10	$152.10 – $152.10
23	Humana medicare advantage other · outpatient	$154.71	$154.71	$154.71 – $154.71
24	Medcost mbs and leased managed care percent of total billed charges · inpatientfrom % of charges	$156.55	$156.55	$156.55 – $156.55
25	Aetna nc+ preferred percent of total billed charges · outpatientfrom % of charges	$177.37	$177.37	$177.37 – $177.37

Page 1 of 2 · 34 rates

Last updated: Oct 8, 2025

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