Debridement of subcutaneous tissue, up to 20 sq cm at Ochsner American Legion Hospital, LLC

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

PR DEBRIDEMENT, SKIN, SUB-Q TISSUE,=<20 SQ CM

Jennings, LA

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How this price compares nationally

Ochsner American Legion Hospital, LLC’s median price of $152 is 71% below the median hospital's median price ($523), higher than 8% 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 Ochsner American Legion Hospital, LLC

Negotiated rates from the hospital’s own file: 10 payers, 25 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	Amerihealth Caritas all payor fee schedule · outpatient	$45.27	$45.27	$45.27 – $45.27
2	Tricare all payor fee schedule · outpatient	$118.81	$98.38	$57.52 – $118.81
3	Humana all payor fee schedule · outpatient	$56.18	$113.21	$45.27 – $363.14
4	UnitedHealthcare all payor fee schedule · outpatient	$78.55	$121.01	$45.27 – $363.14
5	Cigna all payor fee schedule · outpatient	$146.40	$121.15	$70.66 – $146.40
6	Optum all payor fee schedule · outpatient	$56.18	$158.50	$56.18 – $363.14
7	WellCare all payor fee schedule · outpatient	$56.18	$158.50	$56.18 – $363.14
8	Aetna all payor fee schedule · outpatient	$126.44	$187.09	$56.18 – $759.11
9	Aetna Better Health all payor fee schedule · outpatient	$252.47	$206.31	$45.27 – $352.32
10	Aetna all payor other · outpatient	$198.35	$210.70	$152.00 – $294.11
11	Bcbs La all payor other · outpatient	$198.35	$210.70	$152.00 – $294.11
12	Optum all payor other · outpatient	$198.35	$210.70	$152.00 – $294.11
13	WellCare all payor other · outpatient	$198.35	$210.70	$152.00 – $294.11
14	Humana all payor other · outpatient	$252.47	$248.77	$152.00 – $352.32
15	UnitedHealthcare all payor other · outpatient	$252.47	$248.77	$152.00 – $352.32
16	Bcbs La all payor fee schedule · outpatient	$142.57	$278.12	$56.18 – $677.04
17	Amerihealth Caritas all payor other · outpatient	$277.34	$286.83	$240.33 – $352.32
18	Tricare all payor other · outpatient	$363.14	$363.14	$363.14 – $363.14
19	Aetna Better Health all payor case rate · outpatient	$468.30	$468.30	$468.30 – $468.30
20	Amerihealth Caritas all payor case rate · outpatient	$468.30	$468.30	$468.30 – $468.30
21	Humana all payor case rate · outpatient	$468.30	$468.30	$468.30 – $468.30
22	UnitedHealthcare all payor case rate · outpatient	$468.30	$468.30	$468.30 – $468.30
23	UnitedHealthcare all payor percent of total billed charges · outpatientfrom % of charges	$480.00	$480.00	$480.00 – $480.00
24	Aetna all payor case rate · outpatient	$593.00	$593.00	$593.00 – $593.00
25	Cigna all payor other · outpatient	$1,300	$1,300	$1,300 – $1,300

Last updated: Apr 1, 2026

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