Debridement of subcutaneous tissue, up to 20 sq cm at AMH Cath Labs LLC

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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

DEBRID TISSUE SUBQ <20 SQ CM

Arlington, TX

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How this price compares nationally

AMH Cath Labs LLC’s median price of $834 is 60% above the median hospital's median price ($523), higher than 70% of the 2,529 hospitals reporting CPT 11042. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 11042 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 37 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	Blue Cross Blue Shield managed medicaid fee schedule · outpatient	$182.74	$182.74	$171.51 – $193.96
2	UnitedHealthcare managed medicaid fee schedule · outpatient	$182.74	$182.74	$171.51 – $193.96
3	WellCare managed medicaid fee schedule · outpatient	$191.88	$191.88	$180.09 – $203.66
4	Molina managed medicaid fee schedule · outpatient	$197.36	$197.36	$185.23 – $209.48
5	Aetna managed medicaid fee schedule · outpatient	$201.01	$201.01	$188.66 – $213.36
6	Blue Cross Blue Shield exchange case rate · outpatient	$367.44	$367.44	$367.44 – $367.44
7	Blue Cross Blue Shield medicare advantage case rate · outpatient	$409.04	$409.04	$409.04 – $409.04
8	Humana medicare advantage case rate · outpatient	$425.40	$425.40	$425.40 – $425.40
9	Humana medicare advantage ppo case rate · outpatient	$425.40	$425.40	$425.40 – $425.40
10	Molina medicare advantage case rate · outpatient	$429.49	$429.49	$429.49 – $429.49
11	WellCare medicare advantage hmo case rate · outpatient	$429.49	$429.49	$429.49 – $429.49
12	WellCare medicare advantage mmp case rate · outpatient	$449.94	$449.94	$449.94 – $449.94
13	UnitedHealthcare medicare advantage ppo case rate · outpatient	$454.03	$454.03	$454.03 – $454.03
14	UnitedHealthcare medicare advantage hmo case rate · outpatient	$462.22	$462.22	$462.22 – $462.22
15	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$563.21	$563.21	$539.04 – $587.37
16	Blue Cross Blue Shield hmo case rate · outpatient	$750.85	$750.85	$750.85 – $750.85
17	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$775.47	$775.47	$763.20 – $787.74
18	Blue Cross Blue Shield ppo case rate · outpatient	$834.24	$834.24	$834.24 – $834.24
19	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$961.35	$961.35	$961.35 – $961.35
20	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$1,019	$1,019	$1,019 – $1,019
21	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$1,020	$1,020	$858.74 – $1,180
22	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$1,028	$1,028	$1,028 – $1,028
23	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$1,034	$1,034	$1,018 – $1,050
24	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$1,068	$1,068	$955.40 – $1,180
25	UnitedHealthcare all payer case rate · outpatient	$1,247	$1,247	$1,247 – $1,247

Page 1 of 2 · 37 rates

Last updated: Apr 21, 2026

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