Price AtlasInteractive atlas · All states · techysurgeon.comWound debridement: what insurers pay
Removing dead tissue from a chronic wound, down to the tissue under the skin (11042) or muscle (11043), first 20 sq cm. Commercial negotiated rates by hospital and market, next to Medicare for the same code.
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CPT 11042: Dbrdmt Subq Tis 1st 20sqcm/<
108 hospitals in 34 markets. National Medicare rate $415, surgery center $223.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 1 | — | — | — | $2,197–$2,197 |
| Austin TX | 2 | — | — | — | $387–$1,515 |
| Boston MA | 7 | $934 | $1,135 | $1,243 | $737–$1,950 |
| Chicago IL | 7 | $430 | $1,124 | $1,375 | $225–$1,950 |
| Cleveland OH | 5 | $1,770 | $1,781 | $2,085 | $1,226–$2,833 |
| Columbus OH | 1 | — | — | — | $1,462–$1,462 |
| Dallas-Fort Worth TX | 4 | — | — | — | $1,396–$1,877 |
| Denver CO | 7 | $1,416 | $1,880 | $1,974 | $974–$2,096 |
| Detroit MI | 7 | $352 | $352 | $416 | $335–$902 |
| Georgia (statewide) | 1 | — | — | — | $1,580–$1,580 |
| Houston TX | 1 | — | — | — | $1,532–$1,532 |
| Indianapolis IN | 4 | — | — | — | $825–$2,932 |
| Kansas (statewide) | 1 | — | — | — | $2,824–$2,824 |
| Las Vegas NV | 2 | — | — | — | $878–$2,109 |
| Los Angeles CA | 1 | — | — | — | $1,490–$1,490 |
| Miami-Fort Lauderdale FL | 4 | — | — | — | $366–$2,056 |
| Minneapolis-St. Paul MN | 6 | $687 | $936 | $1,160 | $588–$1,184 |
| Nashville TN | 4 | — | — | — | $299–$1,813 |
| New York (statewide) | 1 | — | — | — | $2,300–$2,300 |
| New York City | 3 | — | — | — | $482–$3,670 |
| Ohio (statewide) | 1 | — | — | — | $842–$842 |
| Philadelphia PA | 3 | — | — | — | $2,698–$3,311 |
| Phoenix AZ | 3 | — | — | — | $1,448–$2,172 |
| Pittsburgh PA | 1 | — | — | — | $2,136–$2,136 |
| Portland OR | 6 | $1,082 | $1,082 | $1,337 | $1,082–$1,422 |
| Research Triangle NC | 3 | — | — | — | $832–$1,995 |
| Richmond VA | 2 | — | — | — | $2,085–$2,085 |
| San Antonio TX | 1 | — | — | — | $2,252–$2,252 |
| San Francisco Bay Area CA | 2 | — | — | — | $1,162–$1,162 |
| Seattle-Tacoma WA | 6 | $1,334 | $1,394 | $1,481 | $1,161–$1,490 |
| St. Louis MO | 2 | — | — | — | $310–$3,153 |
| Tampa FL | 2 | — | — | — | $417–$1,518 |
| Washington DC | 6 | $1,734 | $2,044 | $2,096 | $1,264–$2,978 |
| Wisconsin (statewide) | 1 | — | — | — | $1,013–$1,013 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Loyola University Medical Center | Chicago IL | $225 | 0.5× | 1 | 2026-03-31 |
| Vanderbilt University Medical Center | Nashville TN | $299 | 0.8× | 6 | 2025-10-01 |
| Mercy Hospital St Louis | St. Louis MO | $310 | 0.8× | 1 | 2026-06-04 |
| Trinity Health Oakland Hospital | Detroit MI | $335 | 0.8× | 16 | 2026-03-31 |
| Endeavor Health Evanston Hospital | Chicago IL | $349 | 0.8× | 2 | 2026-04-01 |
| Corewell Health Beaumont Grosse Pointe Hospital | Detroit MI | $352 | 0.9× | 1 | 2026-05-01 |
| Corewell Health William Beaumont University Hospit | Detroit MI | $352 | 0.9× | 1 | 2026-05-01 |
| Corewell Health Beaumont Troy Hospital | Detroit MI | $352 | 0.9× | 1 | 2026-05-01 |
| Doctors Hospital | Miami-Fort Lauderdale FL | $366 | 0.9× | 3 | 2026-03-30 |
| Mclaren Port Huron | Detroit MI | $366 | 0.9× | 1 | 2025-12-31 |
| Ascension Seton Medical Center Austin | Austin TX | $387 | 0.9× | 3 | 2026-01-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $393 | 1.0× | 2 | 2026-01-01 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $402 | 1.0× | 2 | 2026-01-01 |
| Morton Plant Hospital | Tampa FL | $417 | 1.0× | 1 | 2026-01-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $466 | 1.1× | 2 | 2026-01-01 |
| Montefiore Medical Center | New York City | $482 | 0.9× | 8 | 2026-04-01 |
| Endeavor Health Edward Hospital | Chicago IL | $511 | 1.2× | 2 | 2026-04-01 |
| Buffalo Hospital | Minneapolis-St. Paul MN | $588 | 1.4× | 2 | 2026-06-16 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $654 | 1.5× | 3 | 2026-03-31 |
| Anna Jaques Hospital | Boston MA | $737 | 1.5× | 4 | 2026-04-01 |
| Beth Israel Deaconess Medical Center | Boston MA | $753 | 1.6× | 1 | 2026-04-01 |
| Lakeview Memorial Hospital | Minneapolis-St. Paul MN | $786 | 1.9× | 4 | 2026-03-31 |
| Hendricks Regional Health | Indianapolis IN | $825 | 1.9× | 1 | 2026-05-20 |
| UNC Rex Hospital | Research Triangle NC | $832 | 2.0× | 1 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $842 | 2.1× | 3 | 2026-04-01 |
| University Medical Center of Southern Nevada | Las Vegas NV | $878 | 2.0× | 7 | 2026-07-01 |
| Harper University Hospital | Detroit MI | $902 | 2.2× | 3 | 2026-09-02 |
| UCHealth University of Colorado Hospital | Denver CO | $974 | 2.3× | 2 | 2025-11-01 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $984 | 2.4× | 4 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $1,013 | 2.5× | 3 | 2026-01-01 |
| Legacy Emanuel Medical Center | Portland OR | $1,082 | 2.4× | 2 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $1,082 | 2.4× | 2 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $1,082 | 2.4× | 2 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $1,082 | 2.4× | 2 | 2026-04-01 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $1,086 | 2.5× | 6 | 2026-06-16 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $1,095 | 2.6× | 5 | 2026-03-13 |
| Winchester Hospital | Boston MA | $1,114 | 2.3× | 2 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $1,124 | 2.6× | 2 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $1,135 | 2.3× | 2 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $1,161 | 2.5× | 4 | 2026-04-01 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $1,162 | 2.0× | 2 | 2026-03-23 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $1,162 | 2.0× | 2 | 2026-03-23 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $1,174 | 2.7× | 2 | 2026-04-01 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $1,183 | 2.4× | 2 | 2026-04-01 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $1,184 | 2.8× | 5 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $1,184 | 2.8× | 5 | 2026-06-16 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $1,226 | 3.2× | 2 | 2026-07-14 |
| Boca Raton Regional Hospital | Miami-Fort Lauderdale FL | $1,236 | 2.9× | 3 | 2026-03-30 |
| Inova Alexandria Hospital | Washington DC | $1,264 | 3.0× | 5 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $1,303 | 2.7× | 4 | 2026-04-01 |
| St Clare Hospital | Seattle-Tacoma WA | $1,334 | 2.8× | 6 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $1,334 | 2.8× | 6 | 2026-02-28 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $1,396 | 3.4× | 2 | 2026-06-29 |
| Adventhealth Porter | Denver CO | $1,416 | 3.3× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $1,416 | 3.3× | 4 | 2026-04-01 |
| Providence St Vincent Medical Center | Portland OR | $1,422 | 3.1× | 1 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $1,422 | 3.1× | 1 | 2026-04-01 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $1,448 | 3.3× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $1,448 | 3.3× | 5 | 2026-04-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $1,453 | 3.1× | 4 | 2026-04-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $1,462 | 3.7× | 18 | 2026-03-31 |
| Keck Hospital Of Usc | Los Angeles CA | $1,490 | 2.9× | 3 | 2026-04-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $1,490 | 3.1× | 7 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $1,490 | 3.1× | 7 | 2026-08-27 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $1,500 | 3.7× | 2 | 2026-04-21 |
| St David's Medical Center | Austin TX | $1,515 | 3.7× | 4 | 2026-09-01 |
| Tampa General Hospital | Tampa FL | $1,518 | 3.6× | 3 | 2026-04-01 |
| Riverview Health | Indianapolis IN | $1,531 | 3.6× | 2 | 2026-04-01 |
| Houston Methodist Hospital | Houston TX | $1,532 | 3.8× | 2 | 2026-04-01 |
| Rush University Medical Center | Chicago IL | $1,576 | 3.6× | 2 | 2026-09-25 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $1,580 | 4.4× | 1 | 2026-04-01 |
| Medstar Georgetown University Hospital | Washington DC | $1,646 | 3.4× | 3 | 2026-04-01 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $1,770 | 3.5× | 2 | 2026-01-01 |
| Medina Hospital | Cleveland OH | $1,770 | 4.6× | 2 | 2026-06-15 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $1,781 | 4.6× | 2 | 2026-06-15 |
| TriStar StoneCrest Medical Center | Nashville TN | $1,813 | 4.7× | 4 | 2026-09-01 |
| Medical City Plano | Dallas-Fort Worth TX | $1,877 | 4.6× | 5 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $1,877 | 4.6× | 5 | 2026-09-01 |
| HCA HealthONE Swedish | Denver CO | $1,880 | 4.4× | 3 | 2026-09-01 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $1,881 | 4.4× | 3 | 2026-09-01 |
| Beverly Hospital Corporation | Boston MA | $1,950 | 4.0× | 4 | 2026-04-01 |
| University of Chicago Medical Center | Chicago IL | $1,950 | 4.5× | 2 | 2026-04-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $1,995 | 4.9× | 1 | 2026-02-25 |
| Medstar Washington Hospital Center | Washington DC | $1,996 | 4.2× | 4 | 2026-04-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $2,056 | 4.8× | 3 | 2026-06-15 |
| HCA HealthONE Sky Ridge | Denver CO | $2,066 | 4.8× | 3 | 2026-09-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $2,085 | 5.4× | 1 | 2026-06-16 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $2,085 | 5.3× | 3 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $2,085 | 5.3× | 3 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $2,092 | 5.0× | 4 | 2026-09-01 |
| Hca Healthone Rose | Denver CO | $2,096 | 4.9× | 3 | 2026-09-01 |
| Stonesprings Hospital Center | Washington DC | $2,098 | 5.0× | 4 | 2026-09-01 |
| Henderson Hospital | Las Vegas NV | $2,109 | 4.9× | 3 | 2026-09-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $2,136 | 5.4× | 1 | 2026-03-06 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $2,172 | 5.0× | 4 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $2,197 | 5.4× | 2 | 2026-04-01 |
| Methodist Hospital | San Antonio TX | $2,252 | 5.5× | 6 | 2026-09-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $2,279 | 5.3× | 1 | 2026-01-01 |
| Stony Brook University Hospital | New York (statewide) | $2,300 | 4.5× | 2 | 2026-06-10 |
| Riddle Memorial Hospital | Philadelphia PA | $2,698 | 6.5× | 1 | 2026-04-01 |
| Menorah Medical Center | Kansas (statewide) | $2,824 | 7.3× | 4 | 2026-09-01 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $2,833 | 7.4× | 1 | 2026-06-15 |
| Ascension St Vincent Anderson | Indianapolis IN | $2,932 | 6.8× | 1 | 2026-01-01 |
| George Washington Univ Hospital | Washington DC | $2,978 | 6.2× | 3 | 2026-09-01 |
| Bryn Mawr Hospital | Philadelphia PA | $3,073 | 7.3× | 1 | 2026-04-01 |
| Mercy Hospital South | St. Louis MO | $3,153 | 7.8× | 1 | 2026-06-10 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $3,311 | 7.3× | 3 | 2026-03-24 |
| Hospital for Special Surgery | New York City | $3,670 | 7.2× | 3 | 2026-04-01 |
CPT 11043: Dbrdmt Musc&/Fsca 1st 20/<
116 hospitals in 37 markets. National Medicare rate $755, surgery center $405.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Atlanta GA | 4 | — | — | — | $3,453–$3,774 |
| Austin TX | 2 | — | — | — | $593–$2,455 |
| Boston MA | 7 | $1,203 | $1,321 | $1,432 | $1,136–$1,950 |
| California (statewide) | 1 | — | — | — | $5,502–$5,502 |
| Chicago IL | 7 | $811 | $1,259 | $1,550 | $572–$2,155 |
| Cleveland OH | 5 | $2,926 | $3,149 | $3,465 | $1,486–$3,528 |
| Columbus OH | 1 | — | — | — | $2,658–$2,658 |
| Dallas-Fort Worth TX | 4 | — | — | — | $1,896–$2,636 |
| Denver CO | 7 | $1,456 | $1,989 | $2,076 | $1,416–$2,160 |
| Detroit MI | 4 | — | — | — | $781–$1,137 |
| Georgia (statewide) | 1 | — | — | — | $4,221–$4,221 |
| Houston TX | 1 | — | — | — | $3,578–$3,578 |
| Illinois (statewide) | 1 | — | — | — | $672–$672 |
| Indianapolis IN | 4 | — | — | — | $1,759–$3,021 |
| Kansas (statewide) | 1 | — | — | — | $3,081–$3,081 |
| Las Vegas NV | 2 | — | — | — | $1,181–$2,312 |
| Los Angeles CA | 1 | — | — | — | $3,286–$3,286 |
| Miami-Fort Lauderdale FL | 3 | — | — | — | $1,337–$1,936 |
| Minneapolis-St. Paul MN | 4 | — | — | — | $1,033–$2,580 |
| Nashville TN | 4 | — | — | — | $658–$2,054 |
| New York (statewide) | 1 | — | — | — | $5,417–$5,417 |
| New York City | 3 | — | — | — | $1,060–$5,432 |
| Ohio (statewide) | 1 | — | — | — | $961–$961 |
| Philadelphia PA | 5 | $3,453 | $3,459 | $3,640 | $3,415–$6,099 |
| Phoenix AZ | 3 | — | — | — | $2,678–$2,788 |
| Pittsburgh PA | 1 | — | — | — | $4,387–$4,387 |
| Portland OR | 6 | $3,948 | $5,288 | $5,288 | $3,502–$5,288 |
| Research Triangle NC | 3 | — | — | — | $955–$4,148 |
| Richmond VA | 2 | — | — | — | $2,368–$2,368 |
| San Antonio TX | 1 | — | — | — | $2,592–$2,592 |
| San Diego CA | 1 | — | — | — | $951–$951 |
| San Francisco Bay Area CA | 3 | — | — | — | $1,162–$5,216 |
| Seattle-Tacoma WA | 6 | $2,204 | $2,336 | $2,697 | $1,867–$2,773 |
| St. Louis MO | 7 | $4,720 | $4,953 | $4,953 | $4,720–$5,086 |
| Tampa FL | 2 | — | — | — | $1,518–$1,560 |
| Washington DC | 6 | $2,092 | $2,096 | $2,360 | $1,540–$2,978 |
| Wisconsin (statewide) | 1 | — | — | — | $1,013–$1,013 |
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Loyola University Medical Center | Chicago IL | $572 | 0.7× | 1 | 2026-03-31 |
| Ascension Seton Medical Center Austin | Austin TX | $593 | 0.8× | 3 | 2026-01-01 |
| Ascension Saint Thomas Rutherford | Nashville TN | $658 | 0.9× | 2 | 2026-01-01 |
| Vanderbilt University Medical Center | Nashville TN | $667 | 0.9× | 7 | 2025-10-01 |
| Sarah Bush Lincoln Health Center | Illinois (statewide) | $672 | 0.8× | 2 | 2026-06-03 |
| Endeavor Health Evanston Hospital | Chicago IL | $749 | 0.9× | 3 | 2026-04-01 |
| Trinity Health Oakland Hospital | Detroit MI | $781 | 1.1× | 16 | 2026-03-31 |
| Ascension Saint Thomas Hospital (Midtown + West) | Nashville TN | $821 | 1.2× | 3 | 2026-01-01 |
| Mclaren Port Huron | Detroit MI | $853 | 1.2× | 1 | 2025-12-31 |
| Endeavor Health Edward Hospital | Chicago IL | $873 | 1.1× | 1 | 2026-04-01 |
| Henry Ford Health Rochester Hospital | Detroit MI | $930 | 1.3× | 2 | 2026-01-01 |
| Scripps Green Hospital | San Diego CA | $951 | 1.0× | 1 | 2026-03-30 |
| UNC Hospitals (Chapel Hill) | Research Triangle NC | $955 | 1.3× | 4 | 2026-04-01 |
| Bethesda North | Ohio (statewide) | $961 | 1.3× | 4 | 2026-04-01 |
| Orthopaedic Hospital Of Wisconsin | Wisconsin (statewide) | $1,013 | 1.4× | 3 | 2026-01-01 |
| Park Nicollet Methodist Hospital | Minneapolis-St. Paul MN | $1,033 | 1.3× | 2 | 2026-03-31 |
| Montefiore Medical Center | New York City | $1,060 | 1.1× | 9 | 2026-04-01 |
| Anna Jaques Hospital | Boston MA | $1,136 | 1.3× | 4 | 2026-04-01 |
| Harper University Hospital | Detroit MI | $1,137 | 1.5× | 3 | 2026-09-02 |
| Beth Israel Deaconess Medical Center | Boston MA | $1,157 | 1.3× | 2 | 2026-04-01 |
| John Muir Medical Center - Walnut Creek Campus | San Francisco Bay Area CA | $1,162 | 1.1× | 2 | 2026-03-23 |
| John Muir Medical Center - Concord Campus | San Francisco Bay Area CA | $1,162 | 1.1× | 2 | 2026-03-23 |
| University Medical Center of Southern Nevada | Las Vegas NV | $1,181 | 1.5× | 7 | 2026-07-01 |
| Winchester Hospital | Boston MA | $1,249 | 1.4× | 2 | 2026-04-01 |
| Endeavor Health Elmhurst Hospital | Chicago IL | $1,259 | 1.6× | 2 | 2026-04-01 |
| Lahey Hospital & Medical Center, Burlington | Boston MA | $1,321 | 1.5× | 2 | 2026-04-01 |
| Boca Raton Regional Hospital | Miami-Fort Lauderdale FL | $1,337 | 1.7× | 2 | 2026-03-30 |
| Beth Israel Deaconess Hospital - Plymouth | Boston MA | $1,345 | 1.5× | 2 | 2026-04-01 |
| Endeavor Health Northwest Community Hospital | Chicago IL | $1,352 | 1.7× | 2 | 2026-04-01 |
| Adventhealth Porter | Denver CO | $1,416 | 1.8× | 4 | 2026-04-01 |
| Adventhealth Parker | Denver CO | $1,416 | 1.8× | 4 | 2026-04-01 |
| University Hospitals - Elyria Medical Center | Cleveland OH | $1,486 | 2.1× | 3 | 2026-07-14 |
| UCHealth University of Colorado Hospital | Denver CO | $1,496 | 1.9× | 3 | 2025-11-01 |
| Tampa General Hospital | Tampa FL | $1,518 | 2.0× | 3 | 2026-04-01 |
| New England Baptist Hospital | Boston MA | $1,520 | 1.7× | 4 | 2026-04-01 |
| Inova Alexandria Hospital | Washington DC | $1,540 | 2.0× | 6 | 2026-04-01 |
| Morton Plant Hospital | Tampa FL | $1,560 | 2.0× | 2 | 2026-01-01 |
| Cleveland Clinic Hospital | Miami-Fort Lauderdale FL | $1,575 | 2.0× | 3 | 2026-06-15 |
| Rush University Medical Center | Chicago IL | $1,749 | 2.2× | 2 | 2026-09-25 |
| Hendricks Regional Health | Indianapolis IN | $1,759 | 2.3× | 1 | 2026-05-20 |
| Riverview Health | Indianapolis IN | $1,820 | 2.3× | 2 | 2026-04-01 |
| Overlake Hospital Medical Center | Seattle-Tacoma WA | $1,867 | 2.2× | 5 | 2026-04-01 |
| Baylor University Medical Center | Dallas-Fort Worth TX | $1,896 | 2.6× | 3 | 2026-06-29 |
| Mount Sinai Medical Center Of Florida, Inc | Miami-Fort Lauderdale FL | $1,936 | 2.5× | 5 | 2026-03-13 |
| Beverly Hospital Corporation | Boston MA | $1,950 | 2.2× | 4 | 2026-04-01 |
| Texas Health Presbyterian Hospital Dallas | Dallas-Fort Worth TX | $1,986 | 2.7× | 2 | 2026-04-21 |
| HCA HealthONE Swedish | Denver CO | $1,989 | 2.5× | 4 | 2026-09-01 |
| North Carolina Specialty Hospital | Research Triangle NC | $1,995 | 2.7× | 1 | 2026-02-25 |
| Abbott Northwestern Hospital | Minneapolis-St. Paul MN | $2,042 | 2.6× | 6 | 2026-06-16 |
| HCA HealthONE Presbyterian/St. Luke's | Denver CO | $2,052 | 2.6× | 4 | 2026-09-01 |
| TriStar StoneCrest Medical Center | Nashville TN | $2,054 | 2.9× | 5 | 2026-09-01 |
| Reston Hospital Center | Washington DC | $2,092 | 2.7× | 4 | 2026-09-01 |
| Medstar Georgetown University Hospital | Washington DC | $2,094 | 2.4× | 4 | 2026-04-01 |
| Stonesprings Hospital Center | Washington DC | $2,098 | 2.7× | 4 | 2026-09-01 |
| HCA HealthONE Sky Ridge | Denver CO | $2,100 | 2.7× | 4 | 2026-09-01 |
| University of Chicago Medical Center | Chicago IL | $2,155 | 2.7× | 2 | 2026-04-01 |
| Hca Healthone Rose | Denver CO | $2,160 | 2.8× | 4 | 2026-09-01 |
| St Clare Hospital | Seattle-Tacoma WA | $2,204 | 2.5× | 7 | 2026-02-28 |
| St Anthony Hospital | Seattle-Tacoma WA | $2,204 | 2.5× | 7 | 2026-02-28 |
| Henderson Hospital | Las Vegas NV | $2,312 | 3.0× | 4 | 2026-09-01 |
| CJW Medical Center (Chippenham + Johnston-Willis) | Richmond VA | $2,368 | 3.3× | 4 | 2026-09-01 |
| Henrico Doctors' Hospital | Richmond VA | $2,368 | 3.3× | 4 | 2026-09-01 |
| Medstar Washington Hospital Center | Washington DC | $2,447 | 2.8× | 5 | 2026-04-01 |
| St David's Medical Center | Austin TX | $2,455 | 3.3× | 5 | 2026-09-01 |
| Swedish Medical Center | Seattle-Tacoma WA | $2,468 | 2.9× | 4 | 2026-04-01 |
| Mercy Hospital (Allina, Coon Rapids) | Minneapolis-St. Paul MN | $2,552 | 3.3× | 5 | 2026-06-17 |
| United Hospital (Allina) | Minneapolis-St. Paul MN | $2,580 | 3.3× | 5 | 2026-06-16 |
| Methodist Hospital | San Antonio TX | $2,592 | 3.5× | 5 | 2026-09-01 |
| Medical City Plano | Dallas-Fort Worth TX | $2,636 | 3.5× | 5 | 2026-09-01 |
| Medical City Mckinney | Dallas-Fort Worth TX | $2,636 | 3.5× | 5 | 2026-09-01 |
| Mount Carmel New Albany Surgical Hospital | Columbus OH | $2,658 | 3.7× | 20 | 2026-03-31 |
| HonorHealth Scottsdale Osborn Medical Center | Phoenix AZ | $2,678 | 3.4× | 5 | 2026-04-01 |
| HonorHealth Scottsdale Shea Medical Center | Phoenix AZ | $2,678 | 3.4× | 5 | 2026-04-01 |
| Ascension St Vincent Carmel | Indianapolis IN | $2,720 | 3.5× | 1 | 2026-01-01 |
| Multicare Good Samaritan Hospital | Seattle-Tacoma WA | $2,773 | 3.2× | 6 | 2026-08-27 |
| Tacoma General Allenmore Hospital | Seattle-Tacoma WA | $2,773 | 3.2× | 6 | 2026-08-27 |
| HonorHealth Scottsdale Thompson Peak Medical Center | Phoenix AZ | $2,788 | 3.5× | 4 | 2026-04-01 |
| Cleveland Clinic Hillcrest Hospital | Cleveland OH | $2,926 | 4.2× | 3 | 2026-06-15 |
| George Washington Univ Hospital | Washington DC | $2,978 | 3.4× | 3 | 2026-09-01 |
| Ascension St Vincent Anderson | Indianapolis IN | $3,021 | 3.9× | 1 | 2026-01-01 |
| Menorah Medical Center | Kansas (statewide) | $3,081 | 4.4× | 5 | 2026-09-01 |
| Medina Hospital | Cleveland OH | $3,149 | 4.5× | 4 | 2026-06-15 |
| Keck Hospital Of Usc | Los Angeles CA | $3,286 | 3.5× | 4 | 2026-04-01 |
| Inspira Medical Center Mullica Hill | Philadelphia PA | $3,415 | 4.1× | 5 | 2026-03-24 |
| Piedmont Atlanta Hospital | Atlanta GA | $3,453 | 4.7× | 1 | 2026-07-01 |
| Piedmont Fayette Hospital | Atlanta GA | $3,453 | 4.7× | 1 | 2026-07-01 |
| Piedmont Newnan Hospital | Atlanta GA | $3,453 | 4.7× | 1 | 2026-07-01 |
| Riddle Memorial Hospital | Philadelphia PA | $3,453 | 4.5× | 2 | 2026-04-01 |
| Thomas Jefferson University Hospital | Philadelphia PA | $3,459 | 4.6× | 1 | 2026-09-15 |
| Cleveland Clinic Lutheran Hospital | Cleveland OH | $3,465 | 5.0× | 3 | 2026-06-15 |
| Providence St Vincent Medical Center | Portland OR | $3,502 | 4.3× | 2 | 2026-04-01 |
| Providence Portland Medical Center | Portland OR | $3,502 | 4.3× | 2 | 2026-04-01 |
| Cleveland Clinic (main campus) | Cleveland OH | $3,528 | 5.0× | 3 | 2026-06-16 |
| Houston Methodist Hospital | Houston TX | $3,578 | 4.8× | 6 | 2026-04-01 |
| Bryn Mawr Hospital | Philadelphia PA | $3,640 | 4.8× | 2 | 2026-04-01 |
| Hospital for Special Surgery | New York City | $3,728 | 4.0× | 4 | 2026-04-01 |
| Emory University Hospital | Atlanta GA | $3,774 | 5.1× | 6 | 2026-04-01 |
| UNC Rex Hospital | Research Triangle NC | $4,148 | 5.5× | 3 | 2026-04-01 |
| Emory Houston Hospital Warner Robins | Georgia (statewide) | $4,221 | 6.5× | 3 | 2026-04-01 |
| Upmc Presbyterian Shadyside | Pittsburgh PA | $4,387 | 6.1× | 1 | 2026-03-06 |
| Missouri Baptist Medical Center | St. Louis MO | $4,720 | 6.4× | 2 | 2025-12-15 |
| Barnes-Jewish West County Hospital | St. Louis MO | $4,720 | 6.4× | 2 | 2025-12-15 |
| Barnes-Jewish St Peters Hospital | St. Louis MO | $4,720 | 6.4× | 2 | 2025-12-15 |
| Mercy Hospital St Louis | St. Louis MO | $4,953 | 6.7× | 1 | 2026-06-04 |
| Mercy Hospital Jefferson | St. Louis MO | $4,953 | 6.7× | 1 | 2026-06-10 |
| Mercy Hospital South | St. Louis MO | $4,953 | 6.7× | 1 | 2026-06-10 |
| Barnes Jewish Hospital | St. Louis MO | $5,086 | 6.9× | 1 | 2025-12-15 |
| Stanford Health Care | San Francisco Bay Area CA | $5,216 | 4.8× | 1 | 2026-04-01 |
| Legacy Emanuel Medical Center | Portland OR | $5,288 | 6.4× | 5 | 2026-04-01 |
| Legacy Good Samaritan Medical Center | Portland OR | $5,288 | 6.4× | 5 | 2026-04-01 |
| Legacy Mount Hood Medical Center | Portland OR | $5,288 | 6.4× | 5 | 2026-04-01 |
| Legacy Meridian Park Medical Center | Portland OR | $5,288 | 6.4× | 5 | 2026-04-01 |
| Stony Brook University Hospital | New York (statewide) | $5,417 | 5.9× | 5 | 2026-06-10 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) | New York City | $5,432 | 5.9× | 6 | 2026-01-01 |
| Los Robles Hospital & Medical Center | California (statewide) | $5,502 | 5.8× | 2 | 2026-09-01 |
| Jefferson Stratford Hospital | Philadelphia PA | $6,099 | 7.3× | 2 | 2026-09-15 |
Questions
How much do commercial insurers pay hospitals for wound debridement?
Across 108 hospitals in 34 metro areas that post a usable dollar rate, the median commercial rate for CPT 11042, hospital outpatient is $1,416, 3.1× the same hospital's local Medicare base rate. The middle half of hospitals runs $956 to $1,950. Figures are each hospital's median across insurers, from its federal price-transparency file.
What does Medicare pay for wound debridement?
Medicare's national hospital outpatient rate for CPT 11042 is $415 and its surgery-center rate is $223, before local wage adjustment.
Which hospitals post the lowest and highest commercial rates for wound debridement?
Lowest medians: Loyola University Medical Center ($225), Vanderbilt University Medical Center ($299), Mercy Hospital St Louis ($310). Highest: Hospital for Special Surgery ($3,670), Inspira Medical Center Mullica Hill ($3,311), Mercy Hospital South ($3,153). Coverage is limited to the markets listed on this page.