Cost analysis for CPT 97597 — Removal of tissue from wound, 20.0 sq cm or less
Average Medicare Payment
$57.35
2023 data
Total Payments (2023)
$33.0M
Services (2023)
580.1K
Price Change (2014–2023)
+31.5%
| Year | Avg Payment | Total Payments | Services | YoY Change |
|---|---|---|---|---|
| 2014 | $43.61 | $42.2M | 979.8K | — |
| 2015 | $42.64 | $39.0M | 935.2K | -2.2% |
| 2016 | $40.69 | $35.8M | 912.4K | -4.6% |
| 2017 | $40.32 | $34.4M | 885.5K | -0.9% |
| 2018 | $44.79 | $37.0M | 858.7K | +11.1% |
| 2019 | $48.04 | $37.5M | 801.7K | +7.3% |
| 2020 | $56.20 | $36.6M | 664.8K | +17.0% |
| 2021 | $58.45 | $36.8M | 642.8K | +4.0% |
| 2022 | $58.29 | $33.1M | 578.1K | -0.3% |
| 2023 | $57.35 | $33.0M | 580.1K | -1.6% |
The most expensive state pays 2.5x more than the cheapest for this procedure. XX averages $81.54 vs ID at $32.64.
| State | Avg Payment | Total Payments | Services | Providers |
|---|---|---|---|---|
| XX | $81.54 | $13.5K | 166 | 2 |
| NY | $79.95 | $3.4M | 43.2K | 458 |
| VI | $75.85 | $21.5K | 283 | 1 |
| CA | $68.48 | $3.8M | 55.4K | 439 |
| WY | $65.31 | $472.8K | 7.2K | 29 |
| NJ | $65.29 | $1.4M | 21.1K | 217 |
| MD | $65.05 | $776.3K | 11.9K | 159 |
| FL | $64.92 | $4.6M | 70.9K | 629 |
| CO | $63.30 | $256.9K | 4.1K | 68 |
| TX | $58.50 | $2.2M | 38.1K | 380 |
| IL | $58.26 | $1.9M | 33.2K | 329 |
| HI | $58.26 | $52.5K | 901 | 16 |
| UT | $57.46 | $178.2K | 3.1K | 45 |
| PR | $57.06 | $30.8K | 540 | 5 |
| PA | $57.04 | $1.9M | 33.5K | 354 |
| AZ | $56.18 | $543.6K | 9.7K | 120 |
| AK | $53.89 | $21.7K | 402 | 6 |
| MS | $53.86 | $168.8K | 3.1K | 30 |
| NV | $53.59 | $142.5K | 2.7K | 32 |
| WV | $53.00 | $92.9K | 1.8K | 19 |
| MI | $52.88 | $626.8K | 11.9K | 185 |
| OR | $52.32 | $212.5K | 4.1K | 58 |
| VA | $51.63 | $624.0K | 12.1K | 146 |
| NM | $51.34 | $140.9K | 2.7K | 37 |
| OH | $51.21 | $639.2K | 12.5K | 180 |
| WA | $50.54 | $321.4K | 6.4K | 86 |
| TN | $50.39 | $715.2K | 14.2K | 141 |
| CT | $49.74 | $352.8K | 7.1K | 84 |
| MA | $49.45 | $694.0K | 14.0K | 143 |
| GA | $49.16 | $675.3K | 13.7K | 150 |
| LA | $47.86 | $231.8K | 4.8K | 69 |
| MN | $47.80 | $337.0K | 7.0K | 72 |
| AR | $47.62 | $167.3K | 3.5K | 51 |
| OK | $47.20 | $598.3K | 12.7K | 75 |
| DC | $46.12 | $33.0K | 716 | 8 |
| NC | $45.84 | $633.6K | 13.8K | 204 |
| IN | $45.06 | $361.1K | 8.0K | 110 |
| WI | $43.53 | $540.3K | 12.4K | 155 |
| AL | $42.33 | $304.0K | 7.2K | 68 |
| VT | $42.19 | $23.5K | 557 | 6 |
| MT | $41.81 | $109.1K | 2.6K | 34 |
| NE | $41.09 | $145.5K | 3.5K | 42 |
| DE | $40.87 | $197.4K | 4.8K | 30 |
| SC | $40.63 | $311.3K | 7.7K | 79 |
| ND | $39.92 | $50.8K | 1.3K | 19 |
| KY | $39.75 | $336.8K | 8.5K | 83 |
| MO | $39.49 | $441.1K | 11.2K | 131 |
| RI | $38.98 | $151.0K | 3.9K | 26 |
| ME | $38.15 | $42.2K | 1.1K | 18 |
| SD | $36.80 | $86.3K | 2.3K | 17 |
| IA | $36.69 | $364.7K | 9.9K | 84 |
| Provider | Specialty | State | Payments | Services | Avg/Service |
|---|---|---|---|---|---|
| Alan Bienstock | Plastic and Reconstructive Surgery | NY | $257.9K | 2.8K | $93.49 |
| Michael Reed | Physical Therapist in Private Practice | WY | $197.8K | 2.6K | $77.01 |
| Bachir Younes | Infectious Disease | CA | $188.0K | 2.2K | $83.85 |
| Ancel Rogers | General Surgery | CA | $183.8K | 4.0K | $45.74 |
| Virgil Hernandez | Podiatry | CA | $167.7K | 1.8K | $91.14 |
| Barbara Dangerfield | Physical Therapist in Private Practice | CA | $112.6K | 1.3K | $86.55 |
| Jeremiah Graff | Podiatry | TX | $102.2K | 1.4K | $72.81 |
| Bobby Pourziaee | Podiatry | CA | $100.1K | 1.2K | $80.16 |
| Jon Heller | Podiatry | NJ | $97.2K | 1.1K | $85.35 |
| Mobolaji Ogunsakin | Internal Medicine | GA | $86.5K | 1.3K | $68.92 |
| Haris Mirza | Infectious Disease | FL | $86.1K | 1.1K | $74.91 |
| Nicholas Romansky | Podiatry | PA | $84.7K | 991 | $85.52 |
| Richard Egerman | Podiatry | FL | $77.8K | 966 | $80.54 |
| Monica Lucas | Physical Therapist in Private Practice | CA | $76.6K | 867 | $88.32 |
| Bruce Pinker | Podiatry | NY | $76.1K | 797 | $95.46 |
| Emma Denis | Podiatry | FL | $75.0K | 1.0K | $73.85 |
| Roger Tsutsumi | Podiatry | CA | $71.6K | 948 | $75.56 |
| Michael Scanlon | Podiatry | NY | $71.5K | 753 | $94.94 |
| Thomas Rambacher | Podiatry | CA | $71.2K | 784 | $90.82 |
| Gregory Eck | Physical Therapist in Private Practice | WI | $69.9K | 939 | $74.48 |
The data suggests significant pricing inconsistencies for CPT 97597. With a 2.5x price gap between the most and least expensive states, geography plays an outsized role in what Medicare pays for this procedure.
Costs have risen 31.5% since 2014, outpacing inflation and raising questions about whether reimbursement rates reflect actual costs.
This analysis is based on publicly available CMS data and does not account for patient complexity, comorbidities, or facility-specific factors that may justify pricing differences.
Note: All data is from publicly available Medicare records. OpenMedicare is an independent journalism project not affiliated with CMS.