Complex wound repair Cost (2026) — Compare Hospital Prices

Complex wound repair is a surgical procedure. Prices are from 1788 US hospitals across 52 states, from their machine-readable files.

$854median cash price · 1788 hospitals, 52 statestypically $350–$2,692 depending on the hospital

≈ 2.2× Medicare · On the higher sideFind hospitals near you

Price comparison (median)

Chargemaster (list price)

$1,471

Cash / self-pay

$854

Insurer-negotiated

$775

Medicare pays

$390

$350$2,692

Median cash $854 · Medicare $390 · bar = typical cash range (10th–90th percentile)

Is this a fair price?

1× Medicarefair ≈2×5×+

Typical cash price here is $854 — 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 $1,471 list price could save about $617 (42%).

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

See negotiated rates for your insurer:

Hospital	Location	Cash	Insurer	CMS rating	ER wait	Readmit
Jefferson Hospital	Louisville, GA	$130	$258	—	92 min	15.2%
Jefferson Hospital	Jefferson Hills, PA	$130	$258	★ 4/5	172 min	15.4%
Beloit Health System	Beloit, WI	$147	$485	★ 3/5	122 min	15.5%
Westfield Memorial Hospital, Inc	Westfield, NY	$151	$258	—	114 min	14.8%
Canonsburg General Hospital	Canonsburg, PA	$151	$258	★ 3/5	155 min	15.6%
Forbes Hospital	Monroeville, PA	$151	$258	★ 3/5	252 min	16.5%
North Texas Medical Center	Gainesville, TX	$158	$598	★ 4/5	121 min	14.9%
Grove City Medical Center	Grove City, PA	$158	$258	★ 4/5	147 min	14.1%
Ochsner Medical Center Acute	New Orleans, LA	$161	$562	★ 4/5	168 min	16.2%
Adventist Health Tulare	Tulare, CA	$163	$235	★ 3/5	195 min	15.0%
Allegheny Valley Hospital	Natrona, PA	$165	$258	★ 4/5	201 min	15.7%
Allegheny General Hospital	Pittsburgh, PA	$165	$258	★ 3/5	274 min	14.7%
Saint Joseph London	London, KY	$165	$656	★ 3/5	194 min	14.4%
CHI Saint Joseph Flaget Memorial Hospital	Bardstown, KY	$165	$656	★ 3/5	144 min	15.1%
Saint Joseph Mount Sterling	Mount Sterling, KY	$165	$656	★ 4/5	129 min	15.2%
Saint Joseph East	Lexington, KY	$165	$656	★ 2/5	136 min	15.2%
CHI Saint Joseph Berea Nf	Berea, KY	$165	$656	★ 4/5	126 min	14.7%
Burleson St Joseph Health Center	Caldwell, TX	$165	$416	—	80 min	—
Madison St Joseph Health Center	Madisonville, TX	$165	$340	—	104 min	—
Grimes St Joseph Health Center	Navasota, TX	$165	$540	—	94 min	—
CHI St Luke's Health Brazosport	Lake Jackson, TX	$168	$622	★ 4/5	155 min	15.1%
Childrens Hospital of Wisconsin	Milwaukee, WI	$169	$261	—	—	—
University of Michigan Health-Sparrow Carson	Carson City, MI	$169	$755	★ 4/5	95 min	15.2%
Edward W Sparrow Hospital	Lansing, MI	$169	$612	★ 3/5	301 min	13.6%
Ahn Wexford Hospital	Wexford, PA	$178	$542	★ 5/5	186 min	15.3%

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 July 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: $854; Medicare pays $390.

Insurer	Hospitals	Negotiated median
Medicaid	226	$111 $47 – $751
Univera	13	$204 $20 – $264
Amerigroup	149	$228 $174 – $780
Independent Health	23	$249 $131 – $724
Medicare	414	$319 $106 – $951
Priority Health	38	$417 $205 – $856
Molina Healthcare	477	$543 $164 – $2,702
Highmark	96	$548 $109 – $2,014
AmeriHealth	152	$550 $98 – $3,689
Tricare / VA	290	$561 $122 – $1,368
UCare	56	$570 $219 – $1,400
Medica	131	$591 $251 – $1,621
Sanford Health Plan	51	$616 $229 – $1,834
HealthPartners	148	$630 $237 – $1,425
Devoted Health	132	$655 $370 – $874
Geisinger	49	$677 $135 – $2,442
MVP Health Care	59	$694 $248 – $2,120
Security Health Plan	52	$709 $282 – $1,840
Humana	808	$715 $227 – $3,514
Blue Cross Blue Shield	1003	$731 $157 – $3,690
Centene / Ambetter	633	$743 $165 – $2,302
Kaiser Permanente	175	$744 $141 – $2,122
UPMC Health Plan	72	$744 $258 – $3,076
Harvard Pilgrim	35	$745 $299 – $1,439
UnitedHealthcare	1149	$751 $217 – $2,790
Anthem	412	$828 $165 – $4,915
Workers' Comp / No-Fault	93	$873 $310 – $1,298
Coventry	106	$962 $306 – $1,911
MultiPlan / PHCS network	527	$1,038 $379 – $2,551
Health Net	206	$1,044 $199 – $2,841
SelectHealth	37	$1,056 $586 – $5,307
Aetna	1079	$1,079 $287 – $6,946
AvMed	50	$1,193 $436 – $9,160
EmblemHealth	53	$1,200 $566 – $12,590
Bright Health	49	$1,348 $1,257 – $4,748
Healthcare Highways	37	$2,152 $913 – $14,612
Oscar Health	180	$3,008 $719 – $4,212
Cigna	874	$3,321 $486 – $10,217

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

State	Median cash
Puerto Rico	$348
Tennessee	$433
Kentucky	$455
Louisiana	$487
Indiana	$521
Vermont	$557

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.

Clinician	Specialty	Location	Medicare services
Patricia Matheis, M.D.	Dermatology	Wake Forest, NC	326
Artur Henke, MD	Dermatology	Roseville, CA	317
Larry Napolitano	Dermatology	Shelby, NC	271
Scott Warren, MD	Dermatology	Jacksonville, FL	264
Reagan Anderson, D.O.	Dermatology	Colorado Springs, CO	261
Sean Sukal, M.D.	Dermatology	Boca Raton, FL	251
Sean Mazloom, MD	Dermatology	Venice, FL	222
Jon Davis, MD	Dermatology	Evansville, IN	220
K Foster, MD, PA	Micrographic Dermatologic Surgery	Davenport, FL	215
Johnny Gurgen, D.O.	Dermatology	Lady Lake, FL	203
John Howard, D.O.	Dermatology	Jacksonville, FL	195
Thi Tran, DO	Dermatology	The Villages, FL	193

Browse doctors by specialty & city →

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 1788 US hospitals across 52 states, the typical (median) cash price is $854, versus a chargemaster (list) price around $1,471, a median insurer-negotiated rate of $775, a Medicare rate of about $390. Most cash prices fall between $350 and $2,692 — 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 1788 US hospitals is $854. Most hospitals fall between $350 and $2,692. 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.

Related Surgery & Procedures

Abscess incision and drainage Abscess drainage (simple)Abscess drainage (complex or multiple)Foreign body removal (skin)Simple wound stitches Burn treatment Simple laceration repair (small, up to 2.5 cm)Burn dressing and debridement (small)

See more Surgery & Procedures.