Complex wound repair Cost by Hospital

Complex wound repair is a surgical procedure. Prices are from 1799 US hospitals across 52 states, from their machine-readable files.

$849median cash price · 1799 hospitals, 52 statestypically $360–$2,711 depending on the hospital
≈ 2.2× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)
$1,483
Cash / self-pay
$849
Insurer-negotiated
$777
Medicare pays
$390
$360$2,711
Median cash $849  ·  Medicare $390  ·  bar = typical cash range (10th–90th percentile)
Is this a fair price?
1× Medicarefair ≈2×5×+

Typical cash price here is $849 — about 2.2× the Medicare rate ($390). On the higher side. A fair cash price is usually within ~2× Medicare ($781).

💡 Asking for the cash price instead of the $1,483 list price could save about $634 (43%).

Estimate what you’ll pay
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Rough estimate from this procedure’s median insurer-negotiated rate. Your actual cost depends on your plan — confirm with your insurer.

Lowest cash prices

HospitalLocationCashInsurerCMS ratingER waitReadmit
Jefferson Hospital Louisville, GA $130 $258 — 99 min —
Jefferson Hospital Jefferson Hills, PA $130 $258 ★ 4/5 170 min —
Beloit Health System Beloit, WI $147 $485 ★ 3/5 129 min —
Westfield Memorial Hospital, Inc Westfield, NY $151 $258 — 120 min —
Canonsburg General Hospital Canonsburg, PA $151 $258 ★ 3/5 155 min —
Forbes Hospital Monroeville, PA $151 $258 ★ 3/5 261 min —
North Texas Medical Center Gainesville, TX $158 $710 ★ 4/5 117 min —
Grove City Medical Center Grove City, PA $158 $258 ★ 4/5 150 min —
Ochsner Medical Center Acute New Orleans, LA $161 $562 ★ 4/5 174 min —
Adventist Health Tulare Tulare, CA $163 $235 ★ 3/5 198 min —
Allegheny Valley Hospital Natrona, PA $165 $258 ★ 4/5 203 min —
Allegheny General Hospital Pittsburgh, PA $165 $258 ★ 3/5 274 min —
Saint Joseph London London, KY $165 $656 ★ 3/5 185 min —
CHI Saint Joseph Flaget Memorial Hospital Bardstown, KY $165 $656 ★ 3/5 149 min —
Saint Joseph Mount Sterling Mount Sterling, KY $165 $656 ★ 4/5 134 min —
Saint Joseph East Lexington, KY $165 $656 ★ 2/5 131 min —
CHI Saint Joseph Berea Nf Berea, KY $165 $656 ★ 4/5 126 min —
Burleson St Joseph Health Center Caldwell, TX $165 $416 — 80 min —
Madison St Joseph Health Center Madisonville, TX $165 $340 — 108 min —
Grimes St Joseph Health Center Navasota, TX $165 $540 — 92 min —
CHI St Luke's Health Brazosport Lake Jackson, TX $168 $622 ★ 4/5 152 min —
Childrens Hospital of Wisconsin Milwaukee, WI $169 $261 — — —
University of Michigan Health-Sparrow Carson Carson City, MI $169 $755 ★ 4/5 91 min —
Edward W Sparrow Hospital Lansing, MI $169 $612 ★ 3/5 299 min —
Ahn Wexford Hospital Wexford, PA $178 $542 ★ 5/5 184 min —

CMS rating = overall hospital star rating (1–5); ER wait = median minutes in the emergency department; Readmit = 30-day readmission rate (lower is better) — all from Medicare’s Care Compare; “—” = not reported. Data last updated October 2026. Prices from hospitals’ machine-readable files (45 CFR §180); Medicare benchmark from CMS PFS/CLFS/IPPS. Prices below 15% of the median are excluded as likely partial or mis-coded charges. Estimates — confirm with the hospital. Report an incorrect price.

What insurers pay for Complex wound repair

Median in-network negotiated rate by insurer, across hospitals that publish it (cheapest first). Your actual rate depends on your specific plan and deductible. Cash / self-pay for comparison: $849; Medicare pays $390.

InsurerHospitalsNegotiated median
Medicaid 228
$111
$47 – $751
Univera 13
$204
$20 – $264
Amerigroup 150
$228
$175 – $781
Independent Health 23
$249
$131 – $724
Medicare 418
$319
$106 – $951
Priority Health 37
$417
$205 – $856
Molina Healthcare 479
$531
$164 – $2,702
Highmark 99
$548
$109 – $2,014
AmeriHealth 153
$550
$98 – $3,689
Tricare / VA 292
$561
$122 – $1,373
UCare 56
$570
$219 – $1,400
Medica 131
$589
$251 – $1,621
Sanford Health Plan 51
$616
$229 – $1,834
HealthPartners 148
$630
$237 – $1,428
Devoted Health 134
$654
$380 – $874
Geisinger 49
$677
$135 – $2,442
MVP Health Care 60
$694
$249 – $2,125
Harvard Pilgrim 35
$705
$299 – $1,438
Security Health Plan 52
$709
$282 – $1,840
Humana 816
$718
$226 – $3,514
Blue Cross Blue Shield 1007
$731
$161 – $3,664
Kaiser Permanente 175
$745
$141 – $2,120
UPMC Health Plan 75
$748
$268 – $3,031
Centene / Ambetter 647
$751
$168 – $2,302
UnitedHealthcare 1171
$774
$220 – $2,751
Workers' Comp / No-Fault 93
$873
$310 – $1,298
Anthem 429
$913
$180 – $4,764
Coventry 108
$953
$291 – $1,899
MultiPlan / PHCS network 539
$1,044
$381 – $2,486
Health Net 207
$1,054
$199 – $2,837
SelectHealth 37
$1,056
$586 – $5,307
Aetna 1100
$1,067
$282 – $6,940
AvMed 52
$1,106
$436 – $9,160
EmblemHealth 65
$1,171
$566 – $12,211
Bright Health 49
$1,348
$1,257 – $4,748
Healthcare Highways 37
$2,152
$913 – $14,612
Oscar Health 193
$2,943
$652 – $4,212
Cigna 891
$3,297
$485 – $9,843

Negotiated rates are from hospitals’ machine-readable files (45 CFR §180); payer names are normalized to major brands, so a brand may span several plans. Estimates — confirm with your insurer.

Where it’s cheapest

StateMedian cash
Tennessee$433
Puerto Rico$446
Kentucky$455
Louisiana$487
Indiana$521
Michigan$564

Prices by city

Prices by state

Doctors who perform this

Clinicians who reported the most Medicare volume for this service. This reflects Original Medicare activity only and is a volume signal, not a quality ranking.

Does Medicare cover Complex wound repair?

Yes — Medicare generally covers Complex wound repair. It is typically an outpatient service under Medicare Part B, with a Medicare-approved amount of about $390. After your annual Part B deductible, you typically owe the 20% coinsurance — roughly $78 — unless a Medicare Advantage or supplemental (Medigap) plan covers it.

General guidance from Medicare’s national rates — your actual coverage and share depend on medical necessity, your plan, and where the service is performed. Confirm with Medicare or your plan.

About these prices

Based on prices published by 1799 US hospitals across 52 states, the typical (median) cash price is $849, versus a chargemaster (list) price around $1,483, a median insurer-negotiated rate of $777, a Medicare rate of about $390. Most cash prices fall between $360 and $2,711 — a wide spread, which is exactly why comparing hospitals pays off.

How to save

  • Ask each hospital for its cash / self-pay price — for shoppable services it is often far below the list price.
  • Compare several nearby hospitals; prices for the same service can differ severalfold.
  • Request a written estimate and the billing code (CPT/DRG) before scheduling.
  • Use the Medicare benchmark above to judge whether a quote is reasonable.
  • If you are uninsured, ask about financial assistance or prompt-pay discounts.

Frequently asked questions

How much does Complex wound repair cost without insurance?
The median cash (self-pay) price across 1799 US hospitals is $849. Most hospitals fall between $360 and $2,711. Prices vary widely between hospitals, so it pays to compare before you book.
Does Medicare cover Complex wound repair?
Yes — it is generally covered under Medicare Part B as an outpatient service (Medicare-approved amount about $390). After your Part B deductible you typically owe 20% coinsurance, unless a Medicare Advantage or Medigap plan covers it.
What does Medicare pay for Complex wound repair?
Medicare pays about $390. We show this as a benchmark — a fair cash price is often within a few multiples of the Medicare rate.
Why do Complex wound repair prices vary between hospitals?
Hospitals set their own chargemaster and cash prices and negotiate different rates with each insurer, so two hospitals in the same area can charge very differently for the same service.
Is the cash price lower than using insurance?
Sometimes. If you are uninsured or have a high deductible, the cash/self-pay price can be lower than the insurer-negotiated rate — ask the hospital for both.

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