Price Checker / CPT 97605

How much does Neg Prs Wnd Ther Dme<=50sqcm cost?

CPT 97605 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 84x the fair price — among the most extreme markups. Dispute this.

Fair price

$65–$130

What this should cost

With insurance

~$66,000

Typical out-of-pocket

Overcharged if over

$160

Push back above this

The average hospital charge of $8,379 is $8,279 over the fair price (about 84x the fair rate).

What hospitals charge for Neg Prs Wnd Ther Dme<=50sqcm

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
John Muir Health Behavioral Health Center

, CA

$18,874$5,03644742%
John Muir Health Concord Medical Center

, CA

$18,874$5,03644742%
John Muir Health Walnut Creek Medical Center

, CA

$18,874$4,83344742%
"Cohen Children's Medical Center"

, NY

$7,34134784%
Lenox Hill Hospital

NEW YORK, NY

$7,34134784%
Long Island Jewish Forest Hills

, NY

$7,34134784%
Long Island Jewish Medical Center

NEW HYDE PARK, NY

$7,34134784%
Mather Hospital

, NY

$7,34134784%
South Shore University Hospital

, NY

$7,34134784%
Syosset Hospital

, NY

$7,34134784%
Zucker Hillside Hospital

, NY

$7,34134784%
Glen Cove Hospital

, NY

$5,95028173%
Huntington Hospital

PASADENA, NY

$5,40025559%
Rehabilitation Hospital of Rhode Island

, RI

$6,103$6,10314399%
62-0123940 BMH Collierville

, TN

11119%

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About Neg Prs Wnd Ther Dme<=50sqcm

CPT code 97605 refers to neg prs wnd ther dme<=50sqcm (billing description: "Neg prs wnd ther dme<=50sqcm"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $21 in a facility (hospital or surgery center) and $42 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

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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