Last checked 3 November 2026. Pricing and procurement information only; it is not medical advice. Whether negative pressure wound therapy is right for a wound is a decision for the treating clinician.
Most people who search for a wound vac machine price will never buy one. A wound vac, or negative pressure wound therapy (NPWT) pump, is usually rented by the month through a medical equipment supplier, and the cost reaches the patient through an insurance claim. The price that matters is therefore the monthly rental, the dressings and canisters that go with it, and what your insurer pays. Single-use systems are the exception: they are sold per kit, and their prices are published.
Three ways a wound vac is paid for
| Route | Who uses it | How the price works |
|---|---|---|
| Monthly rental billed to insurance | Patients at home in the US | Supplier rents the pump monthly and bills the insurer for the pump, dressing sets and canisters |
| Direct-pay rental | Patients, clinics, care homes, vets | A flat rental quoted upfront; at least one US company ships nationwide and does not bill insurance, but still needs a doctor’s order |
| Institutional contract | Hospitals, the VA, state agencies | Rental agreements with service included, priced by tender or negotiation |
| Single-use kit purchase | Hospitals, clinics, community nurses | Pump and dressings in one disposable kit, priced per kit |
Institutions rent too. The US Department of Veterans Affairs posted notice of a five-year sole-source agreement with KCI USA, the maker of the V.A.C. system now sold under Solventum, for Wound V.A.C. rentals at its Kansas City medical centre and regional facilities. Louisiana’s corrections department has tendered for “Wound Vac Rental and Supplies”, specifying the services that must be included in the rental price.
What insurers pay for a rented pump
In the US the pump is billed under HCPCS code E2402 and the supplies under A6550 (the dressing set) and A7000 (the canister). Medicare pays the pump as a capped rental: monthly payments for up to 13 months, after which ownership passes to the patient. The 2026 fee amounts vary by state and by whether the patient’s ZIP code is rural; an analysis of the CMS fee files puts the West Virginia monthly amount at $881.94 for non-rural areas and $1,504.41 for rural ones. New York Medicaid’s published monthly rate was $929.14 when it moved to separate billing for supplies in 2021.
Supply volumes are limited too. Solventum’s discharge guide for its V.A.C. Therapy lists up to 15 dressings per wound and 10 canisters per month, and Medicare’s coverage policy requires a written order and monthly documentation of the wound’s progress. These are the amounts a supplier can claim; what a patient owes depends on the plan’s deductible, coinsurance and whether the supplier is in network.
That last point is where bills go wrong. One patient writing about their recovery in 2023 described reaching their plan’s roughly $8,000 out-of-pocket maximum by July and still receiving a monthly bill of about $3,500 for the wound vac rental. The account does not say why the rental fell outside the cap, but the question to ask before discharge is clear: is this supplier in my network, and what will I owe each month?
Single-use NPWT: the published prices
Single-use systems such as Smith+Nephew’s PICO 7 combine a small battery pump and dressings in one kit designed to run for up to seven days. Because they are sold like supplies, their prices are visible:
| Where | Pack | Price | Price type |
|---|---|---|---|
| England, NHS | PICO 7 multisite dressing kit, 15 x 20 cm (dressings, listed as an NPWT accessory) | £135.35 | NHS indicative price, valid from 1 Aug 2024 |
| Australia | PICO 7 kit, 10 x 20 cm (pump + 2 dressings) | A$484.59 to A$525.22 | Supplier listings incl. GST |
| Australia | PICO 7 kit, 10 x 30 cm | A$370.83 | Supplier listing incl. GST |
| United States | PICO 7, case of 3 kits | $1,825.58 to $2,279.52 per case | Distributor listings |
| United States | PICO 7, single kit | $1,295.00 | Distributor listing |
A similar-sized kit costs about twice as much when bought singly from one US distributor as when bought by the case from another. Institutions buying in volume should ask for contract pricing; individual purchases usually go through a prescriber and a supplier anyway.
Buying a reusable pump outright
We found no published purchase price for a current reusable hospital NPWT pump from a major manufacturer. Prices are quoted to hospitals, often inside rental or service agreements. Older consumer articles quote figures such as $30,000 to buy a unit or $100 to $150 a day to rent, but they do not cite a manufacturer or a date, so treat them as anecdotes.
Low-cost pumps are listed on Alibaba with claims of Class II medical device status, and university research teams have designed low-cost NPWT devices for low-resource settings, one of them from parts bought on Amazon, eBay and Alibaba. Neither makes a device legal to use in your country. Before buying any pump, confirm its regulatory status for your market (for example, FDA clearance in the US or the CE or UKCA marking in Europe and the UK), the exact model and manufacturer, the dressings and canisters it is designed to use, and who will service it.
Questions to ask a supplier
- What is the exact device model, and what is its regulatory status in my country?
- Is the price a monthly rental, a daily rental or a purchase, and what does it include?
- How are dressing sets and canisters priced, and how many are supplied per month?
- For insured patients: is the supplier in network, and what will the patient owe each month?
- Who delivers, trains the patient or staff, and services or replaces the pump if an alarm or fault occurs?
- For institutions: is maintenance, cleaning between patients and loan cover included?
Comparing quoted prices is easier when you know what is left out, which is the habit behind our list of common pricing mistakes. For another regulated medical device with very different prices by seller, see our nebulizer price comparison.
Questions buyers ask
Can I buy a wound vac without a prescription? In the US, even direct-pay rental companies require a doctor’s order before shipping a pump.
Who owns a rented pump? Under Medicare’s capped rental rules, ownership passes to the patient after 13 months of continuous rental; with private insurers and direct-pay rentals, check the agreement.
Is a single-use system cheaper? Per week of therapy, a single-use kit has a visible price; a rented pump’s cost depends on rental terms and supplies. Which is suitable for a wound is a clinical decision.
How we priced this
Fee schedule amounts come from public CMS and Medicaid publications or analyses of them, and are what payers allow, not what a patient pays. Kit prices are supplier and distributor listings or NHS indicative prices. The chart follows one Australian supplier’s PICO 7 price automatically each day; a second supplier’s prices are entered by hand.
| Tracked listing | Configuration | Latest price | Previous price |
|---|---|---|---|
| Smith+Nephew PICO 7, 10 x 20 cm (pump + 2 dressings) | Australian medical supplier, price incl. GST, read automatically once a day | A$485 | Unchanged since Nov 3, 2026 |
| Smith+Nephew PICO 7, 10 x 20 cm, another Australian supplier not in average | Supplier listing incl. GST, recorded by hand Nov 3, 2026 | A$525 | No earlier snapshot |
| Smith+Nephew PICO 7, 10 x 30 cm, same supplier not in average | Supplier listing incl. GST, recorded by hand Nov 3, 2026 | A$371 | No earlier snapshot |
Sources: NHS dm+d price for PICO 7 via OpenPrescribing and Solventum V.A.C. Therapy discharge guide. CMS and New York Medicaid fee publications, US and Australian supplier listings, public tender notices and a patient’s published account were also reviewed.


