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

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

3M $ CLEANSING OF SKIN/TISSUE

Washington, DC

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How this price compares nationally

Children's National Hospital’s median price of $400 is 24% below the median hospital's median price ($523), higher than 27% 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 National Hospital

Negotiated rates from the hospital’s own file: 8 payers, 45 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	Anthem medicaid professional · fee schedule · both	$52.78	$52.78	$52.78 – $52.78
2	Kaiser managed medicaid professional · fee schedule · both	$56.92	$56.92	$56.92 – $56.92
3	Carefirst hmo professional · fee schedule · both	$59.16	$59.16	$59.16 – $59.16
4	Molina managed medicaid (ccc plus) professional · fee schedule · both	$64.69	$64.69	$64.69 – $64.69
5	Molina managed medicaid (medallion) professional · fee schedule · both	$64.69	$64.69	$64.69 – $64.69
6	Carefirst rpn professional · fee schedule · both	$65.74	$65.74	$65.74 – $65.74
7	Aetna commercial professional · fee schedule · both	$69.16	$69.16	$69.16 – $69.16
8	Anthem hmx professional · fee schedule · both	$90.12	$90.12	$90.12 – $90.12
9	Anthem hmo professional · fee schedule · both	$98.13	$98.13	$98.13 – $98.13
10	Anthem ppo/par professional · fee schedule · both	$122.76	$122.76	$122.76 – $122.76
11	Anthem hmo facility · fee schedule · outpatient	$144.70	$144.70	$144.70 – $144.70
12	Anthem hmx facility · fee schedule · outpatient	$144.70	$144.70	$144.70 – $144.70
13	Anthem ppo/par facility · fee schedule · outpatient	$144.70	$144.70	$144.70 – $144.70
14	Cigna oap professional · percent of total billed charges · bothfrom % of charges	$202.00	$202.00	$202.00 – $202.00
15	Cigna ppo professional · percent of total billed charges · bothfrom % of charges	$202.00	$202.00	$202.00 – $202.00
16	Kaiser commercial professional · percent of total billed charges · bothfrom % of charges	$242.40	$242.40	$242.40 – $242.40
17	Carefirst managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$359.64	$359.64	$359.64 – $359.64
18	Kaiser managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$359.64	$359.64	$359.64 – $359.64
19	UnitedHealthcare managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$359.64	$359.64	$359.64 – $359.64
20	Aetna Better Health managed medicaid facility · percent of total billed charges · outpatientfrom % of charges	$369.63	$369.63	$369.63 – $369.63
21	Cigna epo facility · percent of total billed charges · inpatientfrom % of charges	$419.58	$419.58	$419.58 – $419.58
22	Cigna epo facility · percent of total billed charges · outpatientfrom % of charges	$419.58	$419.58	$419.58 – $419.58
23	Aetna Better Health managed medicaid facility · percent of total billed charges · inpatientfrom % of charges	$429.57	$429.57	$429.57 – $429.57
24	Carefirst managed medicaid facility · percent of total billed charges · inpatientfrom % of charges	$429.57	$429.57	$429.57 – $429.57
25	Kaiser managed medicaid facility · percent of total billed charges · inpatientfrom % of charges	$429.57	$429.57	$429.57 – $429.57

Page 1 of 2 · 45 rates

Last updated: Apr 2, 2026

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