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
HC DEBRIDE SUBCUT TISSUE - 1ST 20 SQ CM OR LESS
Frisco, TX
See all hospitals reporting CPT 11042 →Price type
Baylor Scott & White Medical Center - Centennial’s median price of $674 is 29% above the median hospital's median price ($523), higher than 60% 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: 10 payers, 38 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 | Superior Healthplan medicaid facility · fee schedule · outpatient | $171.51 | $171.51 | $171.51 – $171.51 |
| 2 | UnitedHealthcare medicaid/chip facility · fee schedule · outpatient | $183.52 | $183.52 | $183.52 – $183.52 |
| 3 | Baylor Scott White Health Plan medicare advantage facility · fee schedule · outpatient | $387.95 | $387.95 | $387.95 – $387.95 |
| 4 | Blue Cross Blue Shield blue advantage facility · case rate · outpatient | $396.19 | $396.19 | $396.19 – $396.19 |
| 5 | Humana medicare facility · fee schedule · outpatient | $408.37 | $408.37 | $408.37 – $408.37 |
| 6 | Blue Cross Blue Shield medicare advantage facility · fee schedule · outpatient | $428.79 | $428.79 | $428.79 – $428.79 |
| 7 | Molina medicare advantage facility · fee schedule · outpatient | $428.79 | $428.79 | $428.79 – $428.79 |
| 8 | Superior Healthplan medicare facility · fee schedule · outpatient | $428.79 | $428.79 | $428.79 – $428.79 |
| 9 | UnitedHealthcare medicare advantage facility · fee schedule · outpatient | $457.37 | $457.37 | $457.37 – $457.37 |
| 10 | Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient | $490.04 | $490.04 | $490.04 – $490.04 |
| 11 | Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient | $512.50 | $512.50 | $512.50 – $512.50 |
| 12 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · case rate · outpatient | $562.34 | $562.34 | $562.34 – $562.34 |
| 13 | Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges | $607.06 | $607.06 | $590.19 – $623.92 |
| 14 | Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient | $673.81 | $673.81 | $673.81 – $673.81 |
| 15 | Blue Cross Blue Shield city of dallas facility · case rate · outpatient | $757.24 | $757.24 | $757.24 – $757.24 |
| 16 | Blue Cross Blue Shield blue essentials (hmo) facility · case rate · outpatient | $798.77 | $798.77 | $798.77 – $798.77 |
| 17 | Baylor Scott White Health Plan bsw premier - large group/bsw premier direct to employer (rate 1)/bswh employee facility · percent of total billed charges · outpatientfrom % of charges | $831.33 | $831.33 | $831.33 – $831.33 |
| 18 | Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges | $831.33 | $831.33 | $831.33 – $831.33 |
| 19 | Blue Cross Blue Shield bluechoice (ppo) facility · case rate · outpatient | $840.31 | $840.31 | $840.31 – $840.31 |
| 20 | Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges | $860.00 | $860.00 | $843.13 – $876.86 |
| 21 | Ambetter ambetter exchange facility · fee schedule · outpatient | $878.00 | $878.00 | $878.00 – $878.00 |
| 22 | Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges | $927.45 | $927.45 | $927.45 – $927.45 |
| 23 | Baylor Scott White Health Plan bsw plus - large group/bsw premier direct to employer (rate 2) facility · percent of total billed charges · outpatientfrom % of charges | $978.04 | $978.04 | $978.04 – $978.04 |
| 24 | Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges | $978.04 | $978.04 | $978.04 – $978.04 |
| 25 | UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges | $1,049 | $1,049 | $1,049 – $1,049 |
Last updated: Jun 29, 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.