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Wound debridement in District of Columbia: what insurers pay

Posted commercial rates at 3 District of Columbia hospitals, each next to its own Medicare base rate.

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CPT 11042

HospitalMedian across insurers× MedicareInsurersFile date
Medstar Georgetown University Hospital Washington$1,6463.4×32026-04-01
Medstar Washington Hospital Center Washington$1,9964.2×42026-04-01
George Washington Univ Hospital Washington$2,9786.2×32026-09-01

CPT 11043

HospitalMedian across insurers× MedicareInsurersFile date
Medstar Georgetown University Hospital Washington$2,0942.4×42026-04-01
Medstar Washington Hospital Center Washington$2,4472.8×52026-04-01
George Washington Univ Hospital Washington$2,9783.4×32026-09-01

Questions

How much do insurers pay for wound debridement in District of Columbia?

3 District of Columbia 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 $1,996, 4.2× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.