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.
Original text from hospital filings
Debride Subq Tissue 20 Sq Cm or Less Hcode
DYER, IN
See all hospitals reporting CPT 11042 →Price type
FRANCISCAN ALLIANCE, INC. dba FRANCISCAN HEALTH DYER’s median price of $628 is 20% above the median hospital's median price ($523), higher than 57% of the 2,529 hospitals reporting CPT 11042. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 88 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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Filter by billing class
| # | ||||
|---|---|---|---|---|
| 1 | UnitedHealthcare bind/surest insurance [322006] per diem · outpatient | $100.00 | $100.00 | $100.00 – $100.00 |
| 2 | UnitedHealthcare definity health claims [115602] per diem · outpatient | $100.00 | $100.00 | $100.00 – $100.00 |
| 3 | UnitedHealthcare united healthcare choice [315037] per diem · outpatient | $100.00 | $100.00 | $100.00 – $100.00 |
| 4 | UnitedHealthcare united healthcare core [321009] per diem · outpatient | $100.00 | $100.00 | $100.00 – $100.00 |
| 5 | UnitedHealthcare united healthcare hmo [115604] per diem · outpatient | $100.00 | $100.00 | $100.00 – $100.00 |
| 6 | UnitedHealthcare united healthcare navigate [321010] per diem · outpatient | $100.00 | $100.00 | $100.00 – $100.00 |
| 7 | Bcbs Il bc/bs of illinois hmo-nid-hammond-dyer percent of total billed charges · bothfrom % of charges | $106.90 | $106.90 | $106.90 – $106.90 |
| 8 | Bcbs Il bc/bs of illinois hmo-nid-hammond-dyer percent of total billed charges · outpatientfrom % of charges | $106.90 | $106.90 | $106.90 – $106.90 |
| 9 | UnitedHealthcare united healthcare [115607] per diem · outpatient | $109.00 | $109.00 | $109.00 – $109.00 |
| 10 | UnitedHealthcare united healthcare [315698] per diem · outpatient | $109.00 | $109.00 | $109.00 – $109.00 |
| 11 | UnitedHealthcare united healthcare ppo [115605] per diem · outpatient | $109.00 | $109.00 | $109.00 – $109.00 |
| 12 | UnitedHealthcare united healthcare ppo [115606] per diem · outpatient | $109.00 | $109.00 | $109.00 – $109.00 |
| 13 | Cigna cigna localplus-nid percent of total billed charges · outpatientfrom % of charges | $327.85 | $327.85 | $327.85 – $327.85 |
| 14 | Cigna cigna localplus [314004] percent of total billed charges · bothfrom % of charges | $368.08 | $368.08 | $368.08 – $368.08 |
| 15 | Cigna cigna localplus-nid percent of total billed charges · bothfrom % of charges | $368.08 | $368.08 | $368.08 – $368.08 |
| 16 | Bcbs Il st anthony health-nir-stmar&fhm&stant mc percent of total billed charges · bothfrom % of charges | $430.00 | $430.00 | $430.00 – $430.00 |
| 17 | Bcbs Il st anthony healthnetwork hmo [313054] percent of total billed charges · bothfrom % of charges | $430.00 | $430.00 | $430.00 – $430.00 |
| 18 | Medicare medicare part a & b [109993] other · both | $430.10 | $430.10 | $430.10 – $430.10 |
| 19 | Medicare medicare part a & b [109993] other · outpatient | $430.10 | $430.10 | $430.10 – $430.10 |
| 20 | Medicare medicare part b [109992] other · both | $430.10 | $430.10 | $430.10 – $430.10 |
| 21 | Medicare medicare part b [109992] other · outpatient | $430.10 | $430.10 | $430.10 – $430.10 |
| 22 | Medicare medicare-nir-dyer other · both | $430.10 | $430.10 | $430.10 – $430.10 |
| 23 | Medicare medicare-nir-dyer other · outpatient | $430.10 | $430.10 | $430.10 – $430.10 |
| 24 | Aetna aetna-nid-dyer-munster-crn point percent of total billed charges · bothfrom % of charges | $490.21 | $490.21 | $352.60 – $627.81 |
| 25 | Cigna cigna oa plus [312118] percent of total billed charges · bothfrom % of charges | $586.52 | $586.52 | $586.52 – $586.52 |
Last updated: Jan 1, 2026
See Debridement of subcutaneous tissue, up to 20 sq cm pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.