Debridement of subcutaneous tissue, up to 20 sq cm at Sanford Sheldon 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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

TX RM 11042 DEBRIDE SKIN & SUBQ TISSUE

Sheldon, IA

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How this price compares nationally

Sanford Sheldon Medical Center’s median price of $878 is 68% above the median hospital's median price ($523), higher than 72% 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 Sanford Sheldon Medical Center

Negotiated rates from the hospital’s own file: 8 payers, 27 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	Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges	$387.89	$387.89	$387.89 – $387.89
2	Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges	$416.47	$416.47	$416.47 – $416.47
3	Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges	$420.55	$420.55	$420.55 – $420.55
4	Bcbs Nd medicare replacement percent of total billed charges · outpatientfrom % of charges	$420.55	$420.55	$420.55 – $420.55
5	UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges	$420.55	$420.55	$420.55 – $420.55
6	Wellmark hmo percent of total billed charges · inpatientfrom % of charges	$680.50	$680.50	$680.50 – $680.50
7	Wellmark ppo percent of total billed charges · inpatientfrom % of charges	$707.72	$707.72	$707.72 – $707.72
8	Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges	$729.22	$729.22	$729.22 – $729.22
9	Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges	$729.22	$729.22	$729.22 – $729.22
10	Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges	$729.22	$729.22	$729.22 – $729.22
11	Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges	$729.22	$729.22	$729.22 – $729.22
12	Sanford Health Plan commercial/nd pers percent of total billed charges · inpatientfrom % of charges	$857.84	$857.84	$857.84 – $857.84
13	Sanford Health Plan commercial/nd pers percent of total billed charges · outpatientfrom % of charges	$857.84	$857.84	$857.84 – $857.84
14	Sanford Health Plan sd exchange commercial percent of total billed charges · inpatientfrom % of charges	$857.84	$857.84	$857.84 – $857.84
15	Sanford Health Plan sd exchange commercial percent of total billed charges · outpatientfrom % of charges	$857.84	$857.84	$857.84 – $857.84
16	Medica choice percent of total billed charges · inpatientfrom % of charges	$1,123	$1,123	$1,123 – $1,123
17	Medica choice percent of total billed charges · outpatientfrom % of charges	$1,123	$1,123	$1,123 – $1,123
18	UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges	$1,136	$1,136	$1,136 – $1,136
19	UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges	$1,136	$1,136	$1,136 – $1,136
20	Aetna commercial percent of total billed charges · inpatientfrom % of charges	$1,183	$1,183	$1,183 – $1,183
21	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$1,183	$1,183	$1,183 – $1,183
22	Ucare commercial percent of total billed charges · inpatientfrom % of charges	$1,196	$1,196	$1,196 – $1,196
23	Ucare commercial percent of total billed charges · outpatientfrom % of charges	$1,196	$1,196	$1,196 – $1,196
24	Medica elect percent of total billed charges · inpatientfrom % of charges	$1,200	$1,200	$1,200 – $1,200
25	Medica elect percent of total billed charges · outpatientfrom % of charges	$1,200	$1,200	$1,200 – $1,200

Page 1 of 2 · 27 rates

Last updated: Mar 4, 2026

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