Debridement of additional subcutaneous tissue, per 20 sq cm at Champlain Valley Physicians Hospital 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

PR DEBRIDEMENT SUBCUTANEOUS TISSUE EA ADDL 20 SQ CM

Plattsburgh, NY

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How this price compares nationally

Champlain Valley Physicians Hospital Medical Center’s median price of $45 is 91% below the median hospital's median price ($498), higher than 14% of the 2,116 hospitals reporting CPT 11045. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 11045 at Champlain Valley Physicians Hospital Medical Center

Negotiated rates from the hospital’s own file: 7 payers, 33 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	Excellus managed medicaid/essential plans professional · fee schedule · both	$20.62	$20.62	$20.62 – $20.62
2	Aetna medicare advantage professional · fee schedule · both	$23.05	$23.05	$23.05 – $23.05
3	Blue Cross Blue Shield managed medicaid aliessa professional · fee schedule · both	$23.05	$23.05	$23.05 – $23.05
4	Blue Cross Blue Shield medicare advantage professional · fee schedule · both	$23.05	$23.05	$23.05 – $23.05
5	Excellus medicare advantage professional · fee schedule · both	$23.05	$23.05	$23.05 – $23.05
6	Humana tricare professional · fee schedule · both	$23.05	$23.05	$23.05 – $23.05
7	UnitedHealthcare managed medicaid/essential plans professional · fee schedule · both	$25.80	$25.80	$25.80 – $25.80
8	Blue Cross Blue Shield essential plans/managed medicaid professional · fee schedule · both	$27.66	$27.66	$27.66 – $27.66
9	Blue Cross Blue Shield blue access professional · fee schedule · both	$32.01	$32.01	$32.01 – $32.01
10	Blue Cross Blue Shield hmo professional · fee schedule · both	$33.90	$33.90	$33.90 – $33.90
11	UnitedHealthcare commercial ppo for ny state employees professional · fee schedule · both	$34.39	$34.39	$31.60 – $37.18
12	Aetna commercial professional · fee schedule · both	$35.27	$35.27	$35.27 – $35.27
13	Blue Cross Blue Shield ind professional · fee schedule · both	$35.78	$35.78	$35.78 – $35.78
14	UnitedHealthcare medicare advantage professional · fee schedule · both	$36.86	$36.86	$36.86 – $36.86
15	Blue Cross Blue Shield individual network professional · fee schedule · both	$36.88	$36.88	$36.88 – $36.88
16	Blue Cross Blue Shield ppo professional · fee schedule · both	$37.66	$37.66	$37.66 – $37.66
17	Highmark ind/fep professional · fee schedule · both	$45.42	$45.42	$45.42 – $45.42
18	Highmark ppo/hmo professional · fee schedule · both	$45.42	$45.42	$45.42 – $45.42
19	Excellus commercial professional · fee schedule · both	$47.72	$47.72	$47.72 – $47.72
20	MultiPlan group health professional · percent of total billed charges · bothfrom % of charges	$83.60	$83.60	$83.60 – $83.60
21	UnitedHealthcare commercial professional · fee schedule · both	$89.40	$89.40	$89.40 – $89.40
22	Excellus managed medicaid/essential plans facility · percent of total billed charges · outpatientfrom % of charges	$204.40	$204.40	$204.40 – $204.40
23	Aetna medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$367.92	$367.92	$367.92 – $367.92
24	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$728.69	$728.69	$728.69 – $728.69
25	Excellus commercial facility · percent of total billed charges · outpatientfrom % of charges	$744.42	$744.42	$744.42 – $744.42

Page 1 of 2 · 33 rates

Last updated: Apr 28, 2026

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