Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Wound 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.

Open the interactive explorerAll operations

CPT 11042: Wound Debridement

1595 hospitals in 82 markets. National Medicare rate $415, surgery center $223.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)25$363$512$681$241–$2,062
Alaska (statewide)4———$604–$1,929
Arizona (statewide)20$545$664$1,035$258–$2,172
Arkansas (statewide)23$471$486$606$284–$1,614
Atlanta GA6$1,820$2,197$2,197$1,694–$2,197
Austin TX13$387$638$1,736$387–$1,736
Boston MA15$546$737$842$336–$1,334
California (statewide)76$575$1,070$1,512$439–$2,804
Charlotte NC7$475$475$502$469–$682
Chicago IL8$470$1,149$1,411$225–$1,950
Cleveland OH11$1,109$1,486$1,531$423–$2,346
Colorado (statewide)21$482$692$1,750$401–$2,586
Columbus OH2———$1,462–$1,462
Connecticut (statewide)3———$688–$3,235
Dallas-Fort Worth TX14$895$1,247$1,877$611–$2,082
Delaware (statewide)1———$1,105–$1,105
Denver CO15$1,296$1,967$2,130$974–$2,822
Detroit MI17$352$378$526$219–$941
Florida (statewide)82$564$1,780$2,156$266–$2,518
Georgia (statewide)51$974$1,694$1,989$286–$3,230
Hawaii (statewide)9$495$554$672$469–$2,792
Houston TX19$1,347$1,672$2,015$776–$2,214
Idaho (statewide)20$490$732$1,015$300–$1,811
Illinois (statewide)38$579$835$1,204$244–$1,746
Indiana (statewide)51$756$1,078$1,585$380–$3,331
Indianapolis IN6$1,571$1,758$2,165$825–$3,162
Iowa (statewide)41$415$681$896$313–$2,044
Kansas (statewide)55$342$451$560$202–$2,824
Kentucky (statewide)21$506$704$1,138$262–$2,591
Las Vegas NV2———$1,686–$2,109
Los Angeles CA17$799$1,144$1,308$627–$1,528
Louisiana (statewide)24$464$683$920$294–$1,366
Maine (statewide)18$1,456$1,797$1,900$401–$2,390
Maryland (statewide)1———$1,014–$1,014
Massachusetts (statewide)12$472$549$803$359–$1,416
Miami-Fort Lauderdale FL9$366$442$778$341–$1,505
Michigan (statewide)32$379$432$540$228–$2,885
Minneapolis-St. Paul MN15$672$786$871$588–$1,184
Minnesota (statewide)21$444$690$1,086$250–$1,474
Mississippi (statewide)28$637$720$881$292–$1,223
Missouri (statewide)23$456$639$1,240$297–$2,087
Montana (statewide)8$416$822$981$266–$1,217
Nashville TN8$684$1,180$1,519$507–$1,572
Nebraska (statewide)24$452$880$972$244–$2,109
Nevada (statewide)8$851$1,002$2,109$294–$2,109
New Hampshire (statewide)6$1,345$1,378$1,716$1,053–$2,214
New Jersey (statewide)30$464$1,252$2,095$430–$3,311
New Mexico (statewide)11$521$627$994$365–$1,520
New York (statewide)43$738$911$1,163$266–$2,739
New York City9$926$926$1,404$479–$3,670
North Carolina (statewide)15$500$922$1,045$379–$1,928
North Dakota (statewide)7$472$840$1,072$233–$1,262
Ohio (statewide)47$760$1,090$1,388$196–$1,857
Oklahoma (statewide)26$678$774$994$356–$1,664
Oregon (statewide)19$597$986$1,219$320–$1,841
Pennsylvania (statewide)58$800$1,060$1,356$316–$2,417
Philadelphia PA9$1,842$2,976$3,073$564–$3,311
Phoenix AZ9$641$1,448$1,448$633–$2,172
Pittsburgh PA12$858$1,080$1,481$576–$1,703
Portland OR9$1,261$1,261$1,554$1,084–$1,554
Research Triangle NC4———$551–$1,995
Rhode Island (statewide)6$518$679$888$491–$1,006
Richmond VA3———$2,231–$2,452
Rio Grande Valley TX6$533$678$1,813$528–$2,370
Salt Lake City UT9$461$465$465$363–$465
San Antonio TX3———$619–$1,913
San Diego CA7$908$915$915$748–$964
San Francisco Bay Area CA5$718$1,192$2,688$718–$3,183
Seattle-Tacoma WA16$1,089$1,200$1,333$1,049–$1,456
South Carolina (statewide)31$658$970$1,115$401–$1,563
South Dakota (statewide)3———$496–$1,328
St. Louis MO3———$1,106–$1,199
Tampa FL6$417$417$772$417–$2,132
Tennessee (statewide)42$516$722$994$220–$1,572
Texas (statewide)88$522$842$1,268$210–$2,227
Utah (statewide)9$394$440$504$363–$1,421
Vermont (statewide)2———$380–$1,691
Virginia (statewide)27$1,314$1,806$1,969$472–$2,767
Washington (statewide)21$650$930$1,113$411–$1,869
Washington DC11$1,264$1,264$1,857$978–$2,425
West Virginia (statewide)14$209$368$444$206–$2,706
Wisconsin (statewide)45$923$1,313$1,950$369–$2,852

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Paulding County HospitalOhio (statewide)$1960.5×32025-11-01
Manhattan Surgical Hospital LlcKansas (statewide)$2020.5×12025-11-12
West Virginia University Hospitals, IncWest Virginia (statewide)$2060.5×12026-07-10
United Hospital Center, IncWest Virginia (statewide)$2090.5×32026-07-10
Berkeley Medical CenterWest Virginia (statewide)$2090.5×32026-07-09
Reynolds Memorial Hospital, IncWest Virginia (statewide)$2090.5×32026-07-09
Camden Clark Medical CenterWest Virginia (statewide)$2090.5×32026-07-09
University Medical Center Of El PasoTexas (statewide)$2100.5×12026-03-16
Henry Ford Health -St John HospitalDetroit MI$2190.5×22026-01-01
Ennis Regional Medical CenterTexas (statewide)$2190.5×12026-04-01
Ascension Saint Thomas HickmanTennessee (statewide)$2200.6×12026-01-01
Loyola University Medical CenterChicago IL$2250.5×12026-03-31
Parkview Huntington HospitalIndiana (statewide)$3,0767.2×12026-09-01
Lankenau Medical CenterPhiladelphia PA$3,1538.0×12026-04-01
Ascension St Vincent AndersonIndianapolis IN$3,1627.3×22026-01-01
Good Samaritan HospitalSan Francisco Bay Area CA$3,1835.3×52026-09-01
Parkview Wabash Hospital, IncIndiana (statewide)$3,1937.4×12026-09-01
Piedmont Newton HospitalGeorgia (statewide)$3,2307.9×22026-07-01
Piedmont Rockdale HospitalGeorgia (statewide)$3,2307.9×12026-07-01
Uconn Health Waterbury HospitalConnecticut (statewide)$3,2356.5×32026-05-13
Inspira Medical Center VinelandNew Jersey (statewide)$3,3117.3×42026-03-24
Inspira Medical Center Mullica HillPhiladelphia PA$3,3117.3×42026-03-24
Parkview Whitley HospitalIndiana (statewide)$3,3317.8×12026-09-01
Hospital for Special SurgeryNew York City$3,6707.2×52026-04-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

CPT 11043: Wound Debridement

1535 hospitals in 82 markets. National Medicare rate $755, surgery center $405.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)24$569$744$1,018$362–$2,062
Alaska (statewide)6$694$1,140$1,742$559–$3,965
Arizona (statewide)17$933$1,481$2,577$604–$5,282
Arkansas (statewide)22$674$708$1,070$466–$1,614
Atlanta GA10$3,453$3,453$3,774$2,665–$3,774
Austin TX13$593$1,333$2,059$593–$2,059
Boston MA16$552$1,103$1,289$518–$1,528
California (statewide)78$1,056$1,806$2,316$510–$5,502
Charlotte NC7$728$728$763$718–$2,432
Chicago IL8$842$1,306$1,850$572–$3,247
Cleveland OH11$1,812$2,022$2,616$1,446–$2,806
Colorado (statewide)19$933$1,296$2,404$582–$3,046
Columbus OH2———$2,658–$2,658
Connecticut (statewide)3———$1,044–$3,362
Dallas-Fort Worth TX14$1,368$1,474$2,287$1,110–$2,462
Delaware (statewide)2———$439–$2,009
Denver CO15$1,396$2,134$2,293$1,296–$3,339
Detroit MI10$684$786$1,143$600–$1,438
Florida (statewide)74$1,560$1,950$2,279$419–$4,606
Georgia (statewide)49$1,460$2,234$3,230$450–$4,768
Hawaii (statewide)10$1,986$2,347$2,478$762–$3,270
Houston TX17$1,828$2,015$2,989$1,380–$3,578
Idaho (statewide)18$1,049$1,265$1,555$454–$1,971
Illinois (statewide)33$983$1,209$1,506$423–$3,206
Indiana (statewide)53$1,173$1,729$2,761$489–$5,496
Indianapolis IN6$2,045$2,897$3,173$1,759–$3,317
Iowa (statewide)36$678$1,002$1,234$356–$2,243
Kansas (statewide)39$607$708$1,049$347–$3,965
Kentucky (statewide)19$836$1,151$1,787$624–$2,746
Las Vegas NV2———$1,686–$2,449
Los Angeles CA17$1,632$2,044$2,391$1,120–$3,464
Louisiana (statewide)27$603$822$1,007$352–$1,974
Maine (statewide)18$2,230$2,754$2,912$703–$3,661
Maryland (statewide)1———$1,336–$1,336
Massachusetts (statewide)11$599$806$1,090$552–$2,662
Miami-Fort Lauderdale FL6$914$1,194$1,320$813–$1,458
Michigan (statewide)32$739$774$884$405–$2,916
Minneapolis-St. Paul MN12$1,215$1,290$1,470$884–$2,580
Minnesota (statewide)16$874$1,538$1,948$434–$2,666
Mississippi (statewide)24$784$994$1,306$432–$3,148
Missouri (statewide)31$979$1,435$3,081$435–$5,209
Montana (statewide)7$954$1,285$1,784$488–$2,114
Nashville TN8$821$1,343$1,837$733–$1,863
Nebraska (statewide)21$665$1,126$1,626$423–$3,298
Nevada (statewide)7$1,477$1,926$2,312$1,033–$2,449
New Hampshire (statewide)6$2,245$2,881$3,233$1,993–$4,178
New Jersey (statewide)30$1,264$1,890$2,583$677–$3,363
New Mexico (statewide)8$1,212$1,378$2,811$598–$4,296
New York (statewide)43$938$1,214$1,723$604–$5,417
New York City9$939$1,002$3,472$929–$4,923
North Carolina (statewide)13$698$922$1,928$573–$3,041
North Dakota (statewide)6$769$1,168$1,254$476–$1,435
Ohio (statewide)49$1,062$1,993$2,524$376–$3,682
Oklahoma (statewide)27$968$1,187$1,487$545–$2,891
Oregon (statewide)14$1,228$1,724$2,196$435–$3,134
Pennsylvania (statewide)55$1,268$1,652$2,132$574–$3,268
Philadelphia PA11$3,159$3,453$3,619$1,820–$6,099
Phoenix AZ9$2,600$2,678$2,678$982–$2,788
Pittsburgh PA12$1,231$1,458$1,731$961–$2,634
Portland OR9$3,957$4,275$4,275$3,957–$4,782
Research Triangle NC4———$832–$1,995
Rhode Island (statewide)6$856$1,136$1,294$772–$1,417
Richmond VA3———$2,514–$2,651
Rio Grande Valley TX6$968$996$2,218$960–$2,625
Salt Lake City UT9$784$792$792$572–$792
San Antonio TX3———$948–$2,252
San Diego CA7$1,616$1,616$1,626$1,430–$1,753
San Francisco Bay Area CA6$1,390$3,081$4,278$1,162–$5,216
Seattle-Tacoma WA16$1,831$2,092$2,346$1,780–$2,506
South Carolina (statewide)30$678$1,058$1,267$401–$3,439
South Dakota (statewide)4———$378–$1,328
St. Louis MO10$4,587$4,587$4,899$1,106–$5,505
Tampa FL6$1,560$1,560$1,560$1,219–$3,056
Tennessee (statewide)41$733$975$1,200$437–$2,238
Texas (statewide)85$878$1,247$1,946$417–$5,496
Utah (statewide)8$542$606$747$435–$792
Vermont (statewide)1———$598–$598
Virginia (statewide)26$2,012$2,394$2,670$721–$3,810
Washington (statewide)21$914$1,581$1,826$465–$3,462
Washington DC11$1,554$1,646$2,303$1,540–$2,765
West Virginia (statewide)13$1,022$1,235$2,402$528–$4,920
Wisconsin (statewide)47$923$1,950$2,418$383–$4,078

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Phillips County Health SystemsKansas (statewide)$3470.5×12026-08-04
Ochsner American Legion HospitalLouisiana (statewide)$3520.5×22026-04-01
Cass County Memorial HospitalIowa (statewide)$3560.5×32026-06-01
Amberwell HiawathaKansas (statewide)$3610.5×22026-08-18
Usa Health University HospitalAlabama (statewide)$3620.5×12026-04-30
Franklin General HospitalIowa (statewide)$3700.5×42026-07-16
Nemaha Valley Community HospitalKansas (statewide)$3750.6×12026-09-16
Ottawa County Health CenterKansas (statewide)$3750.6×12026-08-05
Selby General HospitalOhio (statewide)$3760.5×12026-10-01
Monument Health Rapid City HospitalSouth Dakota (statewide)$3780.5×12026-09-01
Edgerton Hospital And Health ServicesWisconsin (statewide)$3830.5×12026-07-19
Mcleod Health CherawSouth Carolina (statewide)$4010.6×12026-07-20
Mercy Hospital JeffersonSt. Louis MO$4,9536.7×12026-06-10
Mercy Hospital SouthSt. Louis MO$4,9536.7×12026-06-10
Citizens Memorial HospitalMissouri (statewide)$5,1827.0×12026-03-25
Mercy Hospital JoplinMissouri (statewide)$5,2097.0×12026-06-09
Stanford Health CareSan Francisco Bay Area CA$5,2164.8×12026-04-01
Benson HospitalArizona (statewide)$5,2826.7×12026-05-13
Stony Brook University HospitalNew York (statewide)$5,4175.9×52026-06-10
Parkview Regional Medical CenterIndiana (statewide)$5,4967.0×12026-09-01
Parkview HospitalTexas (statewide)$5,4967.4×12026-09-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$5,5025.8×22026-09-01
Barnes Jewish HospitalSt. Louis MO$5,5057.4×32025-12-15
Jefferson Stratford HospitalPhiladelphia PA$6,0997.3×22026-09-15

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for wound debridement?

Across 1595 hospitals in 82 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 11042, hospital outpatient is $895, 2.1× the same hospital's local Medicare base rate. The middle half of hospitals runs $530 to $1,437. 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: Paulding County Hospital ($196), Manhattan Surgical Hospital Llc ($202), West Virginia University Hospitals, Inc ($206). Highest: Hospital for Special Surgery ($3,670), Parkview Whitley Hospital ($3,331), Inspira Medical Center Mullica Hill ($3,311). Coverage: every hospital whose price file we could read.