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Every commercial insurer rate these hospitals posted, as a dollar amount and as a multiple of the hospital's own Medicare base rate.
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CPT 11042
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Montefiore Medical Center median $479 · local Medicare $507 · file 2026-04-01 | |||
| Aetna | $482 | 1.0× | 3 |
| Cigna | $359 | 0.7× | 3 |
| Elevance/Anthem/Empire | $2,717 | 5.4× | 15 |
| EmblemHealth | $651 | 1.3× | 11 |
| Healthfirst | $431 | 0.9× | 1 |
| Magnacare (rental network) | $354 | 0.7× | 1 |
| MultiPlan/PHCS (rental network) | $405 | 0.8× | 1 |
| Mvp | $330 | 0.7× | 2 |
| Northwell | $476 | 0.9× | 2 |
| Oscar | $271 | 0.5× | 1 |
| Point Comfort | $507 | 1.0× | 1 |
| UnitedHealthcare | $539 | 1.1× | 6 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $926 · local Medicare $507 · file 2026-09-05 | |||
| 1199SEIU | $836 | 1.6× | 1 |
| Aetna | $1,235 | 2.4× | 3 |
| Carelon | $844 | 1.7× | 1 |
| Cigna | $1,500 | 3.0× | 1 |
| Elevance/Anthem/Empire | $1,773 | 3.5× | 14 |
| EmblemHealth | $844 | 1.7× | 3 |
| Magnacare (rental network) | $330 | 0.7× | 4 |
| Oscar | $1,056 | 2.1× | 2 |
| UnitedHealthcare | $926 | 1.8× | 9 |
| Vaccn | $473 | 0.9× | 1 |
| Jacobi Medical Center median $926 · local Medicare $507 · file 2026-09-05 | |||
| 1199SEIU | $836 | 1.6× | 1 |
| Aetna | $1,235 | 2.4× | 3 |
| Carelon | $867 | 1.7× | 1 |
| Cigna | $1,500 | 3.0× | 1 |
| Elevance/Anthem/Empire | $1,771 | 3.5× | 14 |
| EmblemHealth | $867 | 1.7× | 3 |
| Magnacare (rental network) | $330 | 0.7× | 4 |
| Oscar | $1,056 | 2.1× | 2 |
| UnitedHealthcare | $926 | 1.8× | 9 |
| Vaccn | $473 | 0.9× | 1 |
| Elmhurst Hospital Center median $926 · local Medicare $507 · file 2026-09-05 | |||
| 1199SEIU | $836 | 1.6× | 1 |
| Aetna | $1,235 | 2.4× | 3 |
| Carelon | $842 | 1.7× | 1 |
| Cigna | $1,500 | 3.0× | 1 |
| Elevance/Anthem/Empire | $1,759 | 3.5× | 14 |
| EmblemHealth | $842 | 1.7× | 3 |
| Magnacare (rental network) | $330 | 0.7× | 4 |
| Oscar | $1,056 | 2.1× | 2 |
| UnitedHealthcare | $926 | 1.8× | 9 |
| Vaccn | $473 | 0.9× | 1 |
| South Brooklyn Health median $926 · local Medicare $507 · file 2026-09-05 | |||
| 1199SEIU | $836 | 1.6× | 1 |
| Aetna | $1,235 | 2.4× | 3 |
| Carelon | $863 | 1.7× | 1 |
| Cigna | $1,500 | 3.0× | 1 |
| Elevance/Anthem/Empire | $1,768 | 3.5× | 14 |
| EmblemHealth | $863 | 1.7× | 3 |
| Magnacare (rental network) | $330 | 0.7× | 4 |
| Oscar | $1,056 | 2.1× | 2 |
| UnitedHealthcare | $926 | 1.8× | 9 |
| Vaccn | $473 | 0.9× | 1 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $1,096 · local Medicare $507 · file 2026-01-01 | |||
| Centerlight | $482 | 1.0× | 2 |
| Elevance/Anthem/Empire | $2,443 | 4.8× | 9 |
| EmblemHealth | $1,096 | 2.2× | 4 |
| Jamaica Hospital Medical Center median $1,404 · local Medicare $507 · file 2026-03-25 | |||
| Aetna | $1,871 | 3.7× | 7 |
| Centerlight Healthcare | $505 | 1.0× | 1 |
| Centivo | $1,404 | 2.8× | 1 |
| Cigna | $1,961 | 3.9× | 1 |
| Create Health Plan | $3,399 | 6.7× | 1 |
| Elderplan | $515 | 1.0× | 1 |
| Elevance/Anthem/Empire | $2,284 | 4.5× | 6 |
| EmblemHealth | $833 | 1.6× | 3 |
| Healthfirst | $429 | 0.8× | 1 |
| Maimonides Medical Center median $1,961 · local Medicare $507 · file 2026-04-01 | |||
| 1199SEIU | $2,830 | 5.6× | 1 |
| EmblemHealth | $1,543 | 3.0× | 1 |
| Magnacare (rental network) | $3,816 | 7.5× | 1 |
| UnitedHealthcare | $1,961 | 3.9× | 7 |
| Hospital for Special Surgery median $3,670 · local Medicare $507 · file 2026-04-01 | |||
| BCBS (other) | $3,670 | 7.2× | 3 |
| Elevance/Anthem/Empire | $3,693 | 7.3× | 8 |
| Harvard Pilgrim | $4,044 | 8.0× | 4 |
| Student Resources | $2,996 | 5.9× | 2 |
| UnitedHealthcare | $2,996 | 5.9× | 50 |
CPT 11043
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Elmhurst Hospital Center median $929 · local Medicare $923 · file 2026-09-05 | |||
| 1199SEIU | $836 | 0.9× | 1 |
| Aetna | $1,235 | 1.3× | 1 |
| Carelon | $842 | 0.9× | 1 |
| Cigna | $1,500 | 1.6× | 1 |
| Elevance/Anthem/Empire | $1,137 | 1.2× | 14 |
| EmblemHealth | $929 | 1.0× | 2 |
| Oscar | $1,056 | 1.1× | 2 |
| UnitedHealthcare | $873 | 0.9× | 4 |
| Vaccn | $724 | 0.8× | 1 |
| LINCOLN MEDICAL & MENTAL HEALTH CENTER median $930 · local Medicare $923 · file 2026-09-05 | |||
| 1199SEIU | $836 | 0.9× | 1 |
| Aetna | $1,235 | 1.3× | 1 |
| Carelon | $844 | 0.9× | 1 |
| Cigna | $1,500 | 1.6× | 1 |
| Elevance/Anthem/Empire | $1,140 | 1.2× | 14 |
| EmblemHealth | $930 | 1.0× | 2 |
| Oscar | $1,056 | 1.1× | 2 |
| UnitedHealthcare | $873 | 0.9× | 4 |
| Vaccn | $724 | 0.8× | 1 |
| South Brooklyn Health median $939 · local Medicare $923 · file 2026-09-05 | |||
| 1199SEIU | $836 | 0.9× | 1 |
| Aetna | $1,235 | 1.3× | 1 |
| Carelon | $863 | 0.9× | 1 |
| Cigna | $1,500 | 1.6× | 1 |
| Elevance/Anthem/Empire | $1,139 | 1.2× | 14 |
| EmblemHealth | $939 | 1.0× | 2 |
| Oscar | $1,056 | 1.1× | 2 |
| UnitedHealthcare | $873 | 0.9× | 4 |
| Vaccn | $724 | 0.8× | 1 |
| Jacobi Medical Center median $942 · local Medicare $923 · file 2026-09-05 | |||
| 1199SEIU | $836 | 0.9× | 1 |
| Aetna | $1,235 | 1.3× | 1 |
| Carelon | $867 | 0.9× | 1 |
| Cigna | $1,500 | 1.6× | 1 |
| Elevance/Anthem/Empire | $1,136 | 1.2× | 14 |
| EmblemHealth | $942 | 1.0× | 2 |
| Oscar | $1,056 | 1.1× | 2 |
| UnitedHealthcare | $873 | 0.9× | 4 |
| Vaccn | $724 | 0.8× | 1 |
| Montefiore Medical Center median $1,002 · local Medicare $923 · file 2026-04-01 | |||
| 1199SEIU | $4,342 | 4.7× | 1 |
| Aetna | $775 | 0.8× | 4 |
| Cigna | $1,117 | 1.2× | 5 |
| Elevance/Anthem/Empire | $1,002 | 1.1× | 21 |
| EmblemHealth | $1,974 | 2.1× | 11 |
| Healthfirst | $784 | 0.8× | 1 |
| Magnacare (rental network) | $588 | 0.6× | 2 |
| MultiPlan/PHCS (rental network) | $606 | 0.7× | 2 |
| Mvp | $1,028 | 1.1× | 2 |
| Northwell | $713 | 0.8× | 3 |
| Oscar | $489 | 0.5× | 2 |
| Point Comfort | $923 | 1.0× | 1 |
| UnitedHealthcare | $1,131 | 1.2× | 6 |
| Jamaica Hospital Medical Center median $1,871 · local Medicare $923 · file 2026-03-25 | |||
| Aetna | $1,871 | 2.0× | 7 |
| Centerlight Healthcare | $918 | 1.0× | 1 |
| Centivo | $3,042 | 3.3× | 2 |
| Cigna | $3,106 | 3.4× | 2 |
| Create Health Plan | $2,406 | 2.6× | 2 |
| Elderplan | $936 | 1.0× | 1 |
| Elevance/Anthem/Empire | $2,084 | 2.3× | 9 |
| EmblemHealth | $1,728 | 1.9× | 4 |
| Healthfirst | $780 | 0.8× | 1 |
| MagnaCare (rental network) | $3,020 | 3.3× | 2 |
| Maimonides Medical Center median $3,472 · local Medicare $923 · file 2026-04-01 | |||
| 1199SEIU | $2,830 | 3.1× | 1 |
| Aetna | $4,173 | 4.5× | 3 |
| Centivo | $6,360 | 6.9× | 1 |
| Elevance/Anthem/Empire | $4,113 | 4.5× | 2 |
| EmblemHealth | $2,805 | 3.0× | 1 |
| Magnacare (rental network) | $3,816 | 4.1× | 1 |
| UnitedHealthcare | $1,961 | 2.1× | 7 |
| Hospital for Special Surgery median $3,728 · local Medicare $923 · file 2026-04-01 | |||
| BCBS (other) | $3,670 | 4.0× | 3 |
| Elevance/Anthem/Empire | $3,787 | 4.1× | 10 |
| EmblemHealth | $7,059 | 7.6× | 4 |
| Harvard Pilgrim | $4,044 | 4.4× | 2 |
| Student Resources | $2,996 | 3.2× | 1 |
| UnitedHealthcare | $2,996 | 3.2× | 25 |
| NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $4,923 · local Medicare $923 · file 2026-01-01 | |||
| 1199SEIU | $5,941 | 6.4× | 3 |
| BCBS (other) | $4,100 | 4.4× | 16 |
| Centerlight | $739 | 0.8× | 2 |
| Cigna | $6,487 | 7.0× | 22 |
| Elevance/Anthem/Empire | $4,100 | 4.4× | 36 |
| EmblemHealth | $7,163 | 7.8× | 18 |
| UnitedHealthcare | $4,923 | 5.3× | 24 |
Questions
How much does wound debridement cost with commercial insurance in New York City?
9 New York City hospitals post usable commercial rates for CPT 11042, hospital outpatient. The median across hospitals is $926; hospital medians range from $479 to $3,670. Your cost depends on your plan's deductible and coinsurance.