Debridement of subcutaneous tissue, up to 20 sq cm at Carolinas Medical Center

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 ER DEBRIDE SKIN/SUBQ TISSUE <= 20 SQ CM

Charlotte, NC

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How this price compares nationally

Carolinas Medical Center’s median price of $426 is 18% below the median hospital's median price ($523), higher than 34% 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 Carolinas Medical Center

Negotiated rates from the hospital’s own file: 15 payers, 61 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	Amerihealth Caritas managed medicaid fee schedule · both	$35.43	$35.43	$35.43 – $35.43
2	UnitedHealthcare managed medicaid fee schedule · both	$35.43	$35.43	$35.43 – $35.43
3	WellCare managed medicaid fee schedule · both	$35.43	$35.43	$35.43 – $35.43
4	Cigna Healthspring medicare advantage fee schedule · both	$55.83	$55.83	$55.83 – $55.83
5	Humana medicare advantage fee schedule · both	$56.95	$56.95	$56.95 – $56.95
6	Aetna medicare advantage fee schedule · both	$57.78	$57.78	$57.78 – $57.78
7	UnitedHealthcare medicare advantage case rate · both	$57.94	$57.94	$57.94 – $57.94
8	Molina managed medicaid case rate · outpatient	$75.38	$75.38	$75.38 – $75.38
9	Medcost ppo fee schedule · both	$155.59	$155.59	$155.59 – $155.59
10	Medcost ultra fee schedule · both	$155.59	$155.59	$155.59 – $155.59
11	UnitedHealthcare hmo-ppo managed care fee schedule · both	$164.83	$164.83	$164.83 – $164.83
12	UnitedHealthcare iex commercial fee schedule · both	$164.83	$164.83	$164.83 – $164.83
13	Amerihealth Caritas managed medicaid percent of total billed charges · outpatientfrom % of charges	$181.54	$181.54	$181.54 – $181.54
14	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$184.95	$184.95	$184.95 – $184.95
15	Aetna connected north carolina individual hmo percent of total billed charges · outpatientfrom % of charges	$220.57	$220.57	$220.57 – $220.57
16	Aetna north carolina preferred plus commercial fee schedule · both	$247.36	$247.36	$247.36 – $247.36
17	Aetna connected north carolina individual hmo percent of total billed charges · inpatientfrom % of charges	$252.20	$252.20	$252.20 – $252.20
18	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$271.60	$271.60	$271.60 – $271.60
19	Aetna broad network fee schedule · both	$272.92	$272.92	$272.92 – $272.92
20	Aetna whole health hmo percent of total billed charges · inpatientfrom % of charges	$287.99	$287.99	$287.99 – $287.99
21	Aetna whole health hmo percent of total billed charges · outpatientfrom % of charges	$307.14	$307.14	$307.14 – $307.14
22	Ambetter cobranded commercial percent of total billed charges · outpatientfrom % of charges	$333.02	$333.02	$333.02 – $333.02
23	UnitedHealthcare iex commercial percent of total billed charges · outpatientfrom % of charges	$345.43	$345.43	$345.43 – $345.43
24	Ambetter cobranded commercial percent of total billed charges · inpatientfrom % of charges	$353.83	$353.83	$353.83 – $353.83
25	Bcbs Nc local group commercial percent of total billed charges · outpatientfrom % of charges	$367.78	$367.78	$347.34 – $388.21

Page 1 of 3 · 61 rates

Last updated: Dec 5, 2025

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