Debridement of muscle and fascia, 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

11043 DEBRID SKNSQTIS&MSCLE

Arlington, TX

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How this price compares nationally

AMH Cath Labs LLC’s median price of $992 is 21% above the median hospital's median price ($822), higher than 61% of the 2,405 hospitals reporting CPT 11043. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 11043 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	$273.86	$273.86	$262.63 – $285.08
2	UnitedHealthcare managed medicaid fee schedule · outpatient	$273.86	$273.86	$262.63 – $285.08
3	WellCare managed medicaid fee schedule · outpatient	$287.55	$287.55	$275.76 – $299.33
4	Molina managed medicaid fee schedule · outpatient	$295.77	$295.77	$283.64 – $307.89
5	Aetna managed medicaid fee schedule · outpatient	$301.24	$301.24	$288.89 – $313.59
6	Blue Cross Blue Shield exchange case rate · outpatient	$571.57	$571.57	$571.57 – $571.57
7	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$639.64	$639.64	$612.19 – $667.08
8	Blue Cross Blue Shield medicare advantage case rate · outpatient	$743.66	$743.66	$743.66 – $743.66
9	Humana medicare advantage case rate · outpatient	$773.41	$773.41	$773.41 – $773.41
10	Humana medicare advantage ppo case rate · outpatient	$773.41	$773.41	$773.41 – $773.41
11	Molina medicare advantage case rate · outpatient	$780.85	$780.85	$780.85 – $780.85
12	WellCare medicare advantage hmo case rate · outpatient	$780.85	$780.85	$780.85 – $780.85
13	WellCare medicare advantage mmp case rate · outpatient	$818.03	$818.03	$818.03 – $818.03
14	UnitedHealthcare medicare advantage ppo case rate · outpatient	$825.47	$825.47	$825.47 – $825.47
15	UnitedHealthcare medicare advantage hmo case rate · outpatient	$840.34	$840.34	$840.34 – $840.34
16	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$880.71	$880.71	$866.78 – $894.64
17	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$1,092	$1,092	$1,092 – $1,092
18	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$1,157	$1,157	$1,157 – $1,157
19	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$1,158	$1,158	$975.28 – $1,340
20	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$1,167	$1,167	$1,167 – $1,167
21	Blue Cross Blue Shield hmo case rate · outpatient	$1,168	$1,168	$1,168 – $1,168
22	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$1,174	$1,174	$1,156 – $1,193
23	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$1,213	$1,213	$1,085 – $1,340
24	UnitedHealthcare all payer case rate · outpatient	$1,247	$1,247	$1,247 – $1,247
25	Blue Cross Blue Shield ppo case rate · outpatient	$1,298	$1,298	$1,298 – $1,298

Page 1 of 2 · 37 rates

Last updated: Apr 21, 2026

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