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
DBRDMT SUBQ TIS 1ST 20SQCM/<
SPRINGVILLE, NY
See all hospitals reporting CPT 11042 →Price type
Bertrand Chaffee Hospital’s median price of $122 is 77% below the median hospital's median price ($523), higher than 5% 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: 9 payers, 16 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 | Medicare medicare fee schedule · both | $56.62 | $56.62 | $56.62 – $56.62 |
| 2 | Tricare tricare east reg fee schedule · both | $56.62 | $56.62 | $56.62 – $56.62 |
| 3 | Tricare tricare north region 1 fee schedule · both | $56.62 | $56.62 | $56.62 – $56.62 |
| 4 | Aetna aetna ins. percent of total billed charges · bothfrom % of charges | $80.01 | $80.01 | $68.40 – $91.62 |
| 5 | Cigna cigna commercial percent of total billed charges · bothfrom % of charges | $80.01 | $80.01 | $68.40 – $91.62 |
| 6 | Aetna aetna medicare fee schedule · both | $121.95 | $121.95 | $121.95 – $121.95 |
| 7 | Cigna cigna fee schedule · both | $121.95 | $121.95 | $121.95 – $121.95 |
| 8 | Humana humana gold fee schedule · both | $121.95 | $121.95 | $121.95 – $121.95 |
| 9 | Optum va optum community care fee schedule · both | $121.95 | $121.95 | $121.95 – $121.95 |
| 10 | Tricare wps tricare for life fee schedule · both | $121.95 | $121.95 | $121.95 – $121.95 |
| 11 | UnitedHealthcare aarp/united healthcare fee schedule · both | $121.95 | $121.95 | $121.95 – $121.95 |
| 12 | WellCare wellcare fee schedule · both | $121.95 | $121.95 | $121.95 – $121.95 |
| 13 | Blue Cross Blue Shield bc of wny hmo fee schedule · both | $815.91 | $815.91 | $72.66 – $1,559 |
| 14 | Blue Cross Blue Shield bc of wny ppo fee schedule · both | $1,949 | $1,324 | $72.66 – $1,949 |
| 15 | Blue Cross Blue Shield wny bcbs essential plan fee schedule · both | $1,949 | $1,324 | $72.66 – $1,949 |
| 16 | Blue Cross Blue Shield blue cross freedom blue fee schedule · both | $1,409 | $1,409 | $1,409 – $1,409 |
Last updated: Oct 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.