Debridement of subcutaneous tissue, up to 20 sq cm at Forsyth Memorial Hospital, Inc.

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

DEBRID SUBQ TISSUE 20 SQ CM/<

Winston-Salem, NC

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How this price compares nationally

Forsyth Memorial Hospital, Inc.’s median price of $540 is 3% above the median hospital's median price ($523), higher than 51% 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 Forsyth Memorial Hospital, Inc.

Negotiated rates from the hospital’s own file: 11 payers, 28 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	Blue Cross Blue Shield healthy blue medicaid fee schedule · outpatient	$154.73	$154.73	$154.73 – $154.73
2	UnitedHealthcare medicaid fee schedule · outpatient	$154.73	$154.73	$154.73 – $154.73
3	WellCare medicaid fee schedule · outpatient	$154.73	$154.73	$154.73 – $154.73
4	Cigna aca fee schedule · outpatient	$316.17	$316.17	$316.17 – $316.17
5	Caresource qualified health plan fee schedule · outpatient	$326.80	$326.80	$326.80 – $326.80
6	Blue Cross Blue Shield blue medicare fee schedule · outpatient	$394.26	$394.26	$394.26 – $394.26
7	Humana medicare fee schedule · outpatient	$394.26	$394.26	$394.26 – $394.26
8	UnitedHealthcare medicare fee schedule · outpatient	$394.26	$394.26	$394.26 – $394.26
9	Aetna medicare fee schedule · outpatient	$404.12	$404.12	$404.12 – $404.12
10	Cigna healthspring fee schedule · outpatient	$406.09	$406.09	$406.09 – $406.09
11	Blue Cross Blue Shield blue home fee schedule · outpatient	$426.47	$426.47	$426.47 – $426.47
12	Blue Cross Blue Shield blue value fee schedule · outpatient	$441.18	$441.18	$441.18 – $441.18
13	Cigna commercial fee schedule · outpatient	$485.29	$485.29	$485.29 – $485.29
14	Aetna commercial fee schedule · outpatient	$503.27	$503.27	$503.27 – $503.27
15	UnitedHealthcare all payer fee schedule · outpatient	$549.84	$549.84	$549.84 – $549.84
16	Blue Cross Blue Shield hmo fee schedule · outpatient	$561.27	$561.27	$561.27 – $561.27
17	Blue Cross Blue Shield ppo fee schedule · outpatient	$561.27	$561.27	$561.27 – $561.27
18	Humana commercial fee schedule · outpatient	$636.44	$636.44	$636.44 – $636.44
19	Aetna aca fee schedule · outpatient	$653.60	$653.60	$653.60 – $653.60
20	Aetna first health fee schedule · outpatient	$653.60	$653.60	$653.60 – $653.60
21	Aetna non-par products of apcn fee schedule · outpatient	$653.60	$653.60	$653.60 – $653.60
22	Aetna rental network products fee schedule · outpatient	$653.60	$653.60	$653.60 – $653.60
23	Aetna whole health non-multitier fee schedule · outpatient	$653.60	$653.60	$653.60 – $653.60
24	Medcost mbs fee schedule · outpatient	$694.45	$694.45	$694.45 – $694.45
25	Beechstreet commercial fee schedule · outpatient	$735.30	$735.30	$735.30 – $735.30

Page 1 of 2 · 28 rates

Last updated: Mar 30, 2026

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