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Wound debridement in California: what insurers pay

Posted commercial rates at 6 California hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 11042

HospitalMedian across insurers× MedicareInsurersFile date
John Muir Medical Center - Walnut Creek Campus Walnut Creek$1,1622.0×22026-03-23
John Muir Medical Center - Concord Campus Concord$1,1622.0×22026-03-23
Keck Hospital Of Usc Los Angeles$1,4902.9×32026-04-01

CPT 11043

HospitalMedian across insurers× MedicareInsurersFile date
Scripps Green Hospital La Jolla$9511.0×12026-03-30
John Muir Medical Center - Walnut Creek Campus Walnut Creek$1,1621.1×22026-03-23
John Muir Medical Center - Concord Campus Concord$1,1621.1×22026-03-23
Keck Hospital Of Usc Los Angeles$3,2863.5×42026-04-01
Stanford Health Care Stanford$5,2164.8×12026-04-01
Los Robles Hospital & Medical Center Thousand Oaks$5,5025.8×22026-09-01

Questions

How much do insurers pay for wound debridement in California?

6 California hospitals post usable commercial rates for wound debridement in their federal price-transparency files. For CPT 11042, hospital outpatient, the median across 3 hospitals is $1,162, 2.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.