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
DEBRIDE SQ TISSUE 1ST 20 SQ CM
Williamson, KY
See all hospitals reporting CPT 11042 →Price type
Appalachian Regional Healthcare, Inc.’s median price of $231 is 56% below the median hospital's median price ($523), higher than 13% 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: 8 payers, 20 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 | WellCare medicaid fee schedule · outpatient | $48.18 | $48.18 | $48.18 – $48.18 |
| 2 | Aetna medicare fee schedule · outpatient | $53.60 | $53.60 | $53.60 – $53.60 |
| 3 | Optum veterans affairs plan fee schedule · outpatient | $53.60 | $53.60 | $53.60 – $53.60 |
| 4 | UnitedHealthcare medicare fee schedule · outpatient | $53.60 | $53.60 | $53.60 – $53.60 |
| 5 | WellCare medicare fee schedule · outpatient | $53.60 | $53.60 | $53.60 – $53.60 |
| 6 | Aetna Better Health medicaid fee schedule · outpatient | $56.79 | $56.79 | $56.79 – $56.79 |
| 7 | Aetna Better Health medicaid percent of total billed charges · outpatientfrom % of charges | $87.75 | $87.75 | $37.18 – $138.31 |
| 8 | Humana medicaid percent of total billed charges · outpatientfrom % of charges | $87.75 | $87.75 | $37.18 – $138.31 |
| 9 | WellCare medicaid percent of total billed charges · outpatientfrom % of charges | $131.91 | $131.91 | $55.89 – $207.92 |
| 10 | Anthem medicaid percent of total billed charges · outpatientfrom % of charges | $138.31 | $138.31 | $138.31 – $138.31 |
| 11 | Molina medicaid percent of total billed charges · outpatientfrom % of charges | $138.31 | $138.31 | $138.31 – $138.31 |
| 12 | Aetna medicare other · outpatient | $230.99 | $230.99 | $230.99 – $230.99 |
| 13 | Anthem medicare advantage other · outpatient | $230.99 | $230.99 | $230.99 – $230.99 |
| 14 | Humana medicare other · outpatient | $230.99 | $230.99 | $230.99 – $230.99 |
| 15 | Optum veterans affairs plan other · outpatient | $230.99 | $230.99 | $230.99 – $230.99 |
| 16 | UnitedHealthcare medicare other · outpatient | $230.99 | $230.99 | $230.99 – $230.99 |
| 17 | WellCare medicare other · outpatient | $230.99 | $230.99 | $230.99 – $230.99 |
| 18 | UnitedHealthcare commercial percent of total billed charges · outpatientfrom % of charges | $648.17 | $648.17 | $648.17 – $648.17 |
| 19 | Anthem commercial percent of total billed charges · outpatientfrom % of charges | $770.62 | $770.62 | $750.86 – $790.37 |
| 20 | Aetna commercial percent of total billed charges · bothfrom % of charges | $813.60 | $813.60 | $813.60 – $813.60 |
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.