Debridement of subcutaneous tissue, up to 20 sq cm at Monmouth 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

DBRDMT SUBQ TIS 1ST 20SQCM/<

Long Branch, NJ

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How this price compares nationally

Monmouth Medical Center’s median price of $1.9k is 261% above the median hospital's median price ($523), higher than 90% 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 Monmouth Medical Center

Negotiated rates from the hospital’s own file: 8 payers, 23 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	Bcbs Nj nj health fee schedule · outpatient	$128.02	$128.02	$128.02 – $128.02
2	Bcbs Nj state benefit plan percent of total billed charges · outpatientfrom % of charges	$440.78	$440.78	$440.78 – $440.78
3	Aetna medicare fee schedule · outpatient	$442.22	$442.22	$442.22 – $442.22
4	Bcbs Nj medicare advantage fee schedule · outpatient	$442.22	$442.22	$442.22 – $442.22
5	Clover medicare advantage fee schedule · outpatient	$442.22	$442.22	$442.22 – $442.22
6	Humana medicare fee schedule · outpatient	$442.22	$442.22	$442.22 – $442.22
7	UnitedHealthcare medicare fee schedule · outpatient	$445.37	$445.37	$445.37 – $445.37
8	UnitedHealthcare community plan percent of total billed charges · outpatientfrom % of charges	$585.96	$585.96	$585.96 – $585.96
9	Aetna better health percent of total billed charges · outpatientfrom % of charges	$641.84	$641.84	$641.84 – $641.84
10	WellCare ambetter health commercial fee schedule · outpatient	$880.02	$880.02	$880.02 – $880.02
11	Bcbs Nj omnia percent of total billed charges · outpatientfrom % of charges	$1,359	$1,359	$1,359 – $1,359
12	First Health commercial percent of total billed charges · outpatientfrom % of charges	$1,415	$1,415	$1,415 – $1,415
13	Bcbs Nj worker's comp percent of total billed charges · outpatientfrom % of charges	$2,220	$2,220	$2,220 – $2,220
14	Bcbs Nj pip percent of total billed charges · outpatientfrom % of charges	$2,280	$2,280	$2,280 – $2,280
15	UnitedHealthcare oxford metro case rate · outpatient	$2,445	$2,445	$2,445 – $2,445
16	Cigna local plus case rate · outpatient	$2,491	$2,491	$2,491 – $2,491
17	UnitedHealthcare nexus case rate · outpatient	$2,751	$2,751	$2,751 – $2,751
18	UnitedHealthcare oxford commercial case rate · outpatient	$2,877	$2,877	$2,877 – $2,877
19	Cigna hmo case rate · outpatient	$3,165	$3,165	$3,165 – $3,165
20	UnitedHealthcare commercial case rate · outpatient	$3,236	$3,236	$3,236 – $3,236
21	Cigna ppo case rate · outpatient	$3,334	$3,334	$3,334 – $3,334
22	Aetna hmo case rate · outpatient	$5,153	$5,153	$5,153 – $5,153
23	Aetna ppo case rate · outpatient	$5,153	$5,153	$5,153 – $5,153

Last updated: Mar 4, 2026

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