Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Debridement Subcutaneous Tissue 20 Sq Cm/<, Professional
Lebanon, NH
See all hospitals reporting CPT 11042 →Price type
Alice_peck_day_memorial_hospital’s median price of $126 is 76% below the median hospital's median price ($523), higher than 6% of the 2,529 hospitals reporting CPT 11042. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 16 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | ||||
|---|---|---|---|---|
| 1 | Ambetter nh healthy families ambetter fee schedule · outpatient | $25.00 | $25.00 | $25.00 – $25.00 |
| 2 | Anthem anthem bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $80.59 | $80.59 | $80.59 – $80.59 |
| 3 | Blue Cross Blue Shield anthem bcbs individual qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $80.59 | $80.59 | $80.59 – $80.59 |
| 4 | Blue Cross Blue Shield anthem bcbs shop qhp exchange pathway percent of total billed charges · outpatientfrom % of charges | $112.83 | $112.83 | $112.83 – $112.83 |
| 5 | Blue Cross Blue Shield bcbs medicare advantage percent of total billed charges · outpatientfrom % of charges | $114.98 | $114.98 | $114.98 – $114.98 |
| 6 | UnitedHealthcare uhc mcr percent of total billed charges · outpatientfrom % of charges | $117.36 | $117.36 | $117.36 – $117.36 |
| 7 | UnitedHealthcare united healthcare percent of total billed charges · outpatientfrom % of charges | $117.36 | $117.36 | $117.36 – $117.36 |
| 8 | Cigna cigna hmo/pos percent of total billed charges · outpatientfrom % of charges | $124.86 | $124.86 | $124.86 – $124.86 |
| 9 | Cigna cigna ppo percent of total billed charges · outpatientfrom % of charges | $126.00 | $126.00 | $126.00 – $126.00 |
| 10 | Blue Cross Blue Shield anthem hmo/pos/ppo percent of total billed charges · outpatientfrom % of charges | $128.12 | $128.12 | $128.12 – $128.12 |
| 11 | Blue Cross Blue Shield bcbs vt tvhp & managed care percent of total billed charges · outpatientfrom % of charges | $131.70 | $131.70 | $131.70 – $131.70 |
| 12 | Cigna cigna managed care percent of total billed charges · outpatientfrom % of charges | $133.33 | $133.33 | $133.33 – $133.33 |
| 13 | Blue Cross Blue Shield bcbs vt non managed care percent of total billed charges · outpatientfrom % of charges | $139.69 | $139.69 | $139.69 – $139.69 |
| 14 | Blue Cross Blue Shield 85% of billed percent of total billed charges · outpatientfrom % of charges | $145.07 | $145.07 | $145.07 – $145.07 |
| 15 | Aetna aetna percent of total billed charges · outpatientfrom % of charges | $146.70 | $146.70 | $146.70 – $146.70 |
| 16 | Humana humana medicare advantage percent of total billed charges · outpatientfrom % of charges | $169.52 | $169.52 | $169.52 – $169.52 |
Last updated: Jan 1, 2026
See Debridement of subcutaneous tissue, up to 20 sq cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.