Debridement of subcutaneous tissue, up to 20 sq cm at Baylor Scott & White Medical Center - Plano

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

HC DEBRIDE SUBCUT TISSUE - 1ST 20 SQ CM OR LESS

Plano, TX

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How this price compares nationally

Baylor Scott & White Medical Center - Plano’s median price of $831 is 59% above the median hospital's median price ($523), higher than 69% 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 Baylor Scott & White Medical Center - Plano

Negotiated rates from the hospital’s own file: 10 payers, 39 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	Aetna medicare advantage facility · fee schedule · outpatient	$408.37	$408.37	$408.37 – $408.37
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	Superior Healthplan medicare facility · fee schedule · outpatient	$428.79	$428.79	$428.79 – $428.79
8	UnitedHealthcare medicare advantage facility · fee schedule · outpatient	$457.37	$457.37	$457.37 – $457.37
9	Baylor Scott White Health Plan bsw premier - small group facility · fee schedule · outpatient	$490.04	$490.04	$490.04 – $490.04
10	Baylor Scott White Health Plan bsw premier - individual facility · fee schedule · outpatient	$512.50	$512.50	$512.50 – $512.50
11	Blue Cross Blue Shield blue advantage facility · case rate · outpatient	$539.97	$539.97	$539.97 – $539.97
12	Blue Cross Blue Shield blue advantage facility · percent of total billed charges · outpatientfrom % of charges	$607.06	$607.06	$590.19 – $623.92
13	Baylor Scott White Health Plan bsw plus - small group facility · fee schedule · outpatient	$673.81	$673.81	$673.81 – $673.81
14	Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · case rate · outpatient	$763.63	$763.63	$763.63 – $763.63
15	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
16	Cigna local plus facility · percent of total billed charges · outpatientfrom % of charges	$831.33	$831.33	$831.33 – $831.33
17	Ambetter ambetter exchange facility · fee schedule · outpatient	$878.00	$878.00	$878.00 – $878.00
18	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$927.45	$927.45	$927.45 – $927.45
19	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
20	Cigna hmo/ppo facility · percent of total billed charges · outpatientfrom % of charges	$978.04	$978.04	$978.04 – $978.04
21	Blue Cross Blue Shield city of dallas facility · case rate · outpatient	$1,026	$1,026	$1,026 – $1,026
22	UnitedHealthcare charter facility · percent of total billed charges · outpatientfrom % of charges	$1,049	$1,049	$1,049 – $1,049
23	UnitedHealthcare nexus facility · percent of total billed charges · outpatientfrom % of charges	$1,049	$1,049	$1,049 – $1,049
24	Blue Cross Blue Shield blue premier/high performance network/my bluehealth facility · percent of total billed charges · outpatientfrom % of charges	$1,062	$1,062	$876.86 – $1,248
25	Blue Cross Blue Shield blue essentials (hmo) facility · case rate · outpatient	$1,083	$1,083	$1,083 – $1,083

Page 1 of 2 · 39 rates

Last updated: Jun 29, 2026

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