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
Dbrdmt subq tis 1st 20sqcm/<
Lebanon, NH
See all hospitals reporting CPT 11042 →Price type
Mary Hitchcock Memorial Hospital’s median price of $401 is 23% 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.
Negotiated rates from the hospital’s own file: 10 payers, 103 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 | UnitedHealthcare uhc - va community care network - dhps professional · fee schedule · outpatient | $93.47 | $93.47 | $59.19 – $127.75 |
| 2 | Bcbs Vt bcbs of vermont - the vermont health plan facility · case rate · outpatient | $108.00 | $108.00 | $108.00 – $108.00 |
| 3 | Bcbs Vt bcbs of vermont - vermont health partnership facility · case rate · outpatient | $108.00 | $108.00 | $108.00 – $108.00 |
| 4 | Amerihealth Caritas amerihealth caritas - nh managed medicaid professional · percent of total billed charges · outpatientfrom % of charges | $114.32 | $114.32 | $114.32 – $114.32 |
| 5 | Bcbs Vt bcbs of vermont non-managed care plans facility · case rate · outpatient | $138.01 | $138.01 | $138.01 – $138.01 |
| 6 | Amerihealth Caritas amerihealth caritas - nh managed medicaid facility · percent of total billed charges · outpatientfrom % of charges | $155.11 | $155.11 | $155.11 – $155.11 |
| 7 | Ambetter ambetter commercial - exchange - dhpn professional · fee schedule · outpatient | $210.51 | $210.51 | $210.51 – $210.51 |
| 8 | Anthem anthem - medicare advantage - dhp professional · fee schedule · outpatient | $210.51 | $210.51 | $210.51 – $210.51 |
| 9 | Bcbs Vt bcbs of vermont - medicare advantage - dhp professional · fee schedule · outpatient | $210.51 | $210.51 | $210.51 – $210.51 |
| 10 | UnitedHealthcare uhc - medicare advantage - dhp professional · fee schedule · outpatient | $210.51 | $210.51 | $210.51 – $210.51 |
| 11 | UnitedHealthcare uhc - va community care network - dhpn professional · fee schedule · outpatient | $210.51 | $210.51 | $210.51 – $210.51 |
| 12 | Aetna aetna medicare advantage - dhp professional · fee schedule · outpatient | $216.82 | $216.82 | $216.82 – $216.82 |
| 13 | Cigna cigna medicare advantage - dhp professional · fee schedule · outpatient | $216.82 | $216.82 | $216.82 – $216.82 |
| 14 | Anthem anthem shop - exchange - dhp professional · fee schedule · outpatient | $218.30 | $218.30 | $138.40 – $298.20 |
| 15 | WellCare wellcare - medicare advantage - dhp professional · fee schedule · outpatient | $218.93 | $218.93 | $218.93 – $218.93 |
| 16 | Bcbs Vt bcbs of vermont - the vermont health plan professional · fee schedule · outpatient | $220.82 | $220.82 | $220.82 – $220.82 |
| 17 | Ambetter ambetter commercial - exchange behavioral health - dhp professional · fee schedule · outpatient | $221.03 | $221.03 | $221.03 – $221.03 |
| 18 | Ambetter ambetter commercial - exchange - dhps professional · fee schedule · outpatient | $221.71 | $221.71 | $140.39 – $303.02 |
| 19 | Anthem anthem indiv qhp - exchange - dhp professional · fee schedule · outpatient | $225.63 | $225.63 | $143.04 – $308.22 |
| 20 | Anthem anthem shop - exchange professional · fee schedule · outpatient | $227.23 | $227.23 | $153.23 – $301.23 |
| 21 | Cigna cigna hmo-pos professional · fee schedule · outpatient | $234.13 | $234.13 | $152.58 – $315.67 |
| 22 | Anthem anthem indiv qhp - exchange professional · fee schedule · outpatient | $235.26 | $235.26 | $158.65 – $311.87 |
| 23 | Cigna cigna ppo - dhp professional · fee schedule · outpatient | $237.29 | $237.29 | $146.72 – $327.85 |
| 24 | Anthem anthem ppo - dhp professional · fee schedule · outpatient | $249.89 | $249.89 | $158.42 – $341.35 |
| 25 | Anthem anthem hmo/pos; individual non qhp on or off exch; shop off exch professional · fee schedule · outpatient | $252.48 | $252.48 | $170.26 – $334.70 |
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.