Price Checker / CPT 97597
How much does Dbrdmt Opn Wnd 1st 20 Cm/< cost?
CPT 97597 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 22x the fair price — among the most extreme markups. Dispute this.
Fair price
$380–$450
What this should cost
With insurance
~$43,600
Typical out-of-pocket
Overcharged if over
$560
Push back above this
The average hospital charge of $9,227 is $8,807 over the fair price (about 22x the fair rate).
What hospitals charge for Dbrdmt Opn Wnd 1st 20 Cm/<
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Southern Tennessee Regional Health System - Pulaski PULASKI, TN | $27,258 | — | 26745% |
| Aurora Medical Center Manitowoc GRAFTON, WI | — | — | 22019% |
| Aurora Psychiatric Hospital WAUWATOSA, WI | — | — | 22019% |
| "Cohen Children's Medical Center" , NY | — | $9,873 | 19346% |
| Long Island Jewish Medical Center NEW HYDE PARK, NY | — | $9,873 | 19346% |
| Zucker Hillside Hospital , NY | — | $9,873 | 19346% |
| Stonewall Jackson Hospital , WV | $19,031 | $9,515 | 18642% |
| Staten Island University Hospital STATEN ISLAND, NY | — | $8,573 | 16785% |
| Syosset Hospital , NY | — | $6,313 | 12334% |
| North Shore University Hospital MANHASSET, NY | — | $5,973 | 11664% |
| Glen Cove Hospital , NY | — | $5,575 | 10881% |
| Huntington Hospital PASADENA, NY | — | $5,575 | 10881% |
| Mena Hospital Commission dba Mena Regional Health System , AR | $9,295 | $5,577 | 9054% |
| Memorial Hospital of Carbon County RAWLINS, WY | $5,156 | $3,867 | 4978% |
| Ste Genevieve County Memorial Hospital SAINTE GENEVIEVE, MO | $1,874 | $937 | 1746% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Dbrdmt Opn Wnd 1st 20 Cm/<
CPT code 97597 refers to dbrdmt opn wnd 1st 20 cm/< (billing description: "Dbrdmt opn wnd 1st 20 cm/<"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $31 in a facility (hospital or surgery center) and $102 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.