Debridement of subcutaneous tissue, up to 20 sq cm at Tri-City 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

11042-SQ Tissue Less Than/Equal to 1st 20 sq cm

Oceanside, CA

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How this price compares nationally

Tri-City Medical Center’s median price of $575 is 10% above the median hospital's median price ($523), higher than 53% 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 Tri-City Medical Center

Negotiated rates from the hospital’s own file: 10 payers, 22 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 Ca covered california facility · fee schedule · outpatient	$354.02	$354.02	$354.02 – $354.02
2	MultiPlan auto medical facility · fee schedule · outpatient	$457.49	$457.49	$457.49 – $457.49
3	Aetna medicare advantage facility · fee schedule · outpatient	$522.85	$522.85	$522.85 – $522.85
4	Anthem medicare advantage facility · fee schedule · outpatient	$522.85	$522.85	$522.85 – $522.85
5	Bcbs Ca medicare advantage facility · fee schedule · outpatient	$522.85	$522.85	$522.85 – $522.85
6	Humana medicare advantage facility · fee schedule · outpatient	$522.85	$522.85	$522.85 – $522.85
7	Kaiser hmo facility · fee schedule · outpatient	$522.85	$522.85	$522.85 – $522.85
8	Kaiser medicare advantage facility · fee schedule · outpatient	$522.85	$522.85	$522.85 – $522.85
9	Molina medicare advantage facility · fee schedule · outpatient	$522.85	$522.85	$522.85 – $522.85
10	UnitedHealthcare medicare advantage facility · fee schedule · outpatient	$522.85	$522.85	$522.85 – $522.85
11	UnitedHealthcare select/select plus facility · percent of total billed charges · outpatientfrom % of charges	$631.64	$631.64	$631.64 – $631.64
12	UnitedHealthcare commercial facility · percent of total billed charges · outpatientfrom % of charges	$692.05	$692.05	$692.05 – $692.05
13	Molina covered california ppo facility · fee schedule · outpatient	$705.85	$705.85	$705.85 – $705.85
14	Cigna hmo facility · percent of total billed charges · outpatientfrom % of charges	$774.33	$774.33	$774.33 – $774.33
15	Bcbs Ca commercial facility · percent of total billed charges · outpatientfrom % of charges	$892.68	$802.31	$621.56 – $892.68
16	Magellan commercial/medicare advantage facility · percent of total billed charges · outpatientfrom % of charges	$901.69	$810.40	$627.83 – $901.69
17	Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$825.60	$825.60	$825.60 – $825.60
18	MultiPlan workers comp facility · fee schedule · outpatient	$845.01	$845.01	$845.01 – $845.01
19	MultiPlan ppo facility · percent of total billed charges · inpatientfrom % of charges	$1,052	$945.47	$732.47 – $1,052
20	MultiPlan ppo facility · percent of total billed charges · outpatientfrom % of charges	$1,052	$945.47	$732.47 – $1,052
21	Aetna commercial facility · percent of total billed charges · outpatientfrom % of charges	$1,052	$1,052	$1,052 – $1,052
22	Aetna commercial facility · case rate · outpatient	$4,822	$4,822	$3,004 – $6,640

Last updated: May 29, 2026

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