Debridement of subcutaneous tissue, up to 20 sq cm at Children's 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

Hb Debride Skin/Sq 20 Sq Cm Or Less

Cincinnati, OH

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How this price compares nationally

Children's Hospital Medical Center’s median price of $990 is 89% above the median hospital's median price ($523), higher than 76% 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 Children's Hospital Medical Center

Negotiated rates from the hospital’s own file: 13 payers, 30 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	Aetna Better Health managed_care_medicaid_plan percent of total billed charges · outpatientfrom % of charges	$320.13	$320.13	$260.50 – $379.75
2	Humana managed_care_medicaid_plan percent of total billed charges · outpatientfrom % of charges	$320.13	$320.13	$260.50 – $379.75
3	WellCare managed_care_medicaid_plan percent of total billed charges · outpatientfrom % of charges	$336.78	$336.78	$274.05 – $399.50
4	UnitedHealthcare managed_care_medicaid_plan percent of total billed charges · outpatientfrom % of charges	$338.06	$338.06	$275.09 – $401.02
5	Humana managed_care_medicaid_plan fee schedule · outpatient	$374.71	$374.71	$374.71 – $374.71
6	UnitedHealthcare managed_care_medicaid_plan fee schedule · outpatient	$376.50	$376.50	$376.50 – $376.50
7	Amerihealth Caritas managed_care_medicaid_plan fee schedule · outpatient	$385.42	$385.42	$385.42 – $385.42
8	Molina managed_care_medicaid_plan fee schedule · outpatient	$392.56	$392.56	$392.56 – $392.56
9	Anthem managed_care_medicaid_plan fee schedule · outpatient	$475.49	$475.49	$374.71 – $576.26
10	Caresource managed_care_medicaid_plan fee schedule · outpatient	$480.97	$480.97	$356.87 – $605.07
11	Caresource all_exchange_plans percent of total billed charges · inpatientfrom % of charges	$614.64	$614.64	$500.16 – $729.12
12	Caresource all_exchange_plans percent of total billed charges · outpatientfrom % of charges	$614.64	$614.64	$500.16 – $729.12
13	Cigna all_commericial_plans percent of total billed charges · inpatientfrom % of charges	$614.64	$614.64	$500.16 – $729.12
14	Medical Mutual all_exchange_plans percent of total billed charges · inpatientfrom % of charges	$793.91	$793.91	$646.04 – $941.78
15	Medical Mutual all_exchange_plans percent of total billed charges · outpatientfrom % of charges	$793.91	$793.91	$646.04 – $941.78
16	UnitedHealthcare all_commercial_plans percent of total billed charges · inpatientfrom % of charges	$1,147	$1,147	$933.63 – $1,361
17	UnitedHealthcare all_commercial_plans percent of total billed charges · outpatientfrom % of charges	$1,147	$1,147	$933.63 – $1,361
18	Aetna all_commercial_plans percent of total billed charges · inpatientfrom % of charges	$1,216	$1,216	$989.90 – $1,443
19	Aetna all_commercial_plans percent of total billed charges · outpatientfrom % of charges	$1,216	$1,216	$989.90 – $1,443
20	Anthem non_traditional_plans percent of total billed charges · inpatientfrom % of charges	$1,216	$1,216	$989.90 – $1,443
21	Anthem non_traditional_plans percent of total billed charges · outpatientfrom % of charges	$1,216	$1,216	$989.90 – $1,443
22	Cigna all_commericial_plans percent of total billed charges · outpatientfrom % of charges	$1,216	$1,216	$989.90 – $1,443
23	Medical Mutual all_commercial_plans percent of total billed charges · inpatientfrom % of charges	$1,216	$1,216	$989.90 – $1,443
24	Medical Mutual all_commercial_plans percent of total billed charges · outpatientfrom % of charges	$1,216	$1,216	$989.90 – $1,443
25	Beechstreet all_commercial_plans percent of total billed charges · inpatientfrom % of charges	$1,255	$1,255	$1,021 – $1,489

Page 1 of 2 · 30 rates

Last updated: Apr 1, 2026

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