Price Checker / CPT 97598
How much does Dbrdmt Opn Wnd Addl 20cm/< cost?
CPT 97598 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 43x the fair price — among the most extreme markups. Dispute this.
Fair price
$70–$140
What this should cost
With insurance
~$58,500
Typical out-of-pocket
Overcharged if over
$180
Push back above this
The average hospital charge of $4,717 is $4,607 over the fair price (about 43x the fair rate).
What hospitals charge for Dbrdmt Opn Wnd Addl 20cm/<
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Aurora Medical Center Manitowoc GRAFTON, WI | — | — | 46927% |
| Aurora Psychiatric Hospital WAUWATOSA, WI | — | — | 46927% |
| Stonewall Jackson Hospital , WV | $19,031 | $9,515 | 39746% |
| "Children's Hospital of Michigan" DETROIT, MI | — | — | 16944% |
| Abrazo Arizona Heart Hospital , AZ | — | — | 10913% |
| 62-0123940 BMH Collierville , TN | — | — | 9788% |
| 62-0123940_BMH Memphis , TN | — | — | 9788% |
| 62-0123940 BMH Women , TN | — | — | 9788% |
| University Hospitals Conneaut Medical Center CONNEAUT, OH | — | — | 5233% |
| University Hospitals Geneva Medical Center , OH | — | — | 5233% |
| Ste Genevieve County Memorial Hospital SAINTE GENEVIEVE, MO | $1,874 | $937 | 3824% |
| MEDICAL CITY MENTAL HEALTH AND WELLNESS CENTER - ALLIANCE FORT WORTH, TX | $1,085 | — | 2173% |
| Dallas County Medical Center FORDYCE, AR | $995 | $995 | 1983% |
| Baxter Health Fulton County Hospital SALEM, AR | $963 | $674 | 1916% |
| Tallahatchie General Hospital , MS | $963 | $674 | 1916% |
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 Addl 20cm/<
CPT code 97598 refers to dbrdmt opn wnd addl 20cm/< (billing description: "Dbrdmt opn wnd addl 20cm/<"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $22 in a facility (hospital or surgery center) and $48 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.