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Wound debridement in New York: what insurers pay

Posted commercial rates at 4 New York 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
Montefiore Medical Center Bronx$4820.9×82026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$1,7703.5×22026-01-01
Stony Brook University Hospital Stony Brook$2,3004.5×22026-06-10
Hospital for Special Surgery New York$3,6707.2×32026-04-01

CPT 11043

HospitalMedian across insurers× MedicareInsurersFile date
Montefiore Medical Center Bronx$1,0601.1×92026-04-01
Hospital for Special Surgery New York$3,7284.0×42026-04-01
Stony Brook University Hospital Stony Brook$5,4175.9×52026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) New York$5,4325.9×62026-01-01

Questions

How much do insurers pay for wound debridement in New York?

4 New York hospitals post usable commercial rates for wound debridement in their federal price-transparency files. For CPT 11042, hospital outpatient, the median across 4 hospitals is $2,035, 4.0× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.