Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less
Medicare pricing data for 12,506 providers across 51 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Therapy procedure using a special bandage and vacuum pump, surface area 50.0 sq cm or less (HCPCS code 97605) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $28.17, but hospitals typically charge $140.39 — a 5.0x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $28.17, your out-of-pocket cost would be approximately $5.63. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 5.0x more than what Medicare allows for this procedure. Medicare actually pays $22.30 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Wyoming | $38 | $113 | 37 | 240 | +36.2% |
| Alaska | $33 | $276 | 28 | 86 | +18.8% |
| Hawaii | $33 | $94 | 45 | 212 | +18.3% |
| New Mexico | $33 | $167 | 98 | 426 | +16.2% |
| California | $32 | $158 | 865 | 3,134 | +15.2% |
| Colorado | $32 | $116 | 266 | 731 | +12.1% |
| Utah | $31 | $101 | 84 | 218 | +11.1% |
| Oregon | $31 | $124 | 146 | 347 | +8.9% |
| Washington | $31 | $92 | 180 | 533 | +8.8% |
| New Jersey | $30 | $217 | 476 | 1,848 | +6.0% |
| Nevada | $29 | $141 | 82 | 250 | +4.3% |
| Connecticut | $29 | $150 | 160 | 470 | +2.6% |
| Arizona | $29 | $98 | 238 | 961 | +2.3% |
| Florida | $29 | $103 | 994 | 3,296 | +2.1% |
| Maryland | $29 | $99 | 204 | 678 | +1.9% |
| New York | $29 | $215 | 686 | 2,229 | +1.9% |
| Georgia | $28 | $146 | 329 | 1,135 | +0.8% |
| Kansas | $28 | $159 | 131 | 486 | +0.2% |
| Indiana | $28 | $104 | 186 | 561 | -0.6% |
| Iowa | $28 | $112 | 97 | 245 | -1.0% |
| Texas | $28 | $139 | 952 | 3,320 | -1.5% |
| Virginia | $28 | $147 | 323 | 803 | -2.0% |
| Alabama | $28 | $90 | 169 | 475 | -2.3% |
| Pennsylvania | $27 | $104 | 661 | 1,716 | -2.8% |
| Oklahoma | $27 | $100 | 178 | 487 | -3.6% |
| Illinois | $27 | $170 | 431 | 1,534 | -3.7% |
| Arkansas | $27 | $134 | 115 | 337 | -3.9% |
| South Carolina | $27 | $91 | 219 | 599 | -4.2% |
| Montana | $27 | $93 | 55 | 265 | -4.5% |
| Mississippi | $27 | $109 | 95 | 221 | -4.9% |
| Tennessee | $27 | $94 | 339 | 1,267 | -5.0% |
| Louisiana | $27 | $102 | 242 | 624 | -5.1% |
| Massachusetts | $27 | $119 | 381 | 1,114 | -5.8% |
| District of Columbia | $26 | $80 | 43 | 218 | -6.1% |
| Ohio | $26 | $97 | 433 | 1,094 | -6.2% |
| Wisconsin | $26 | $454 | 317 | 936 | -6.3% |
| Michigan | $26 | $101 | 371 | 935 | -7.2% |
| Missouri | $26 | $106 | 249 | 709 | -7.5% |
| South Dakota | $26 | $76 | 50 | 198 | -8.0% |
| Kentucky | $26 | $92 | 181 | 551 | -8.2% |
| Nebraska | $26 | $121 | 94 | 337 | -8.3% |
| Idaho | $26 | $93 | 61 | 330 | -8.5% |
| North Carolina | $25 | $134 | 440 | 1,044 | -11.0% |
| Rhode Island | $25 | $119 | 43 | 82 | -12.9% |
| New Hampshire | $24 | $214 | 107 | 366 | -14.3% |
| Maine | $24 | $94 | 57 | 132 | -14.9% |
| Minnesota | $24 | $147 | 326 | 853 | -16.3% |
| West Virginia | $23 | $78 | 75 | 206 | -17.3% |
| Delaware | $23 | $90 | 37 | 97 | -17.7% |
| Vermont | $23 | $156 | 34 | 77 | -18.0% |
| North Dakota | $22 | $131 | 48 | 160 | -20.3% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber