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Wound debridement in New York City

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 · insurerRate× MedicarePlans
Montefiore Medical Center median $482 · local Medicare $507 · file 2026-04-01
Aetna$4821.0×3
Cigna$3590.7×3
Elevance/Anthem/Empire$2,7175.4×15
EmblemHealth$6511.3×11
Healthfirst$4310.9×1
MultiPlan/PHCS (rental network)$4050.8×1
Oscar$2710.5×1
UnitedHealthcare$5391.1×6
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $1,770 · local Medicare $507 · file 2026-01-01
Elevance/Anthem/Empire$2,4434.8×9
EmblemHealth$1,0962.2×4
Hospital for Special Surgery median $3,670 · local Medicare $507 · file 2026-04-01
BCBS (other)$3,6707.2×3
Elevance/Anthem/Empire$3,6937.3×8
UnitedHealthcare$2,9965.9×50

CPT 11043

Hospital · insurerRate× MedicarePlans
Montefiore Medical Center median $1,060 · local Medicare $923 · file 2026-04-01
1199SEIU$4,3424.7×1
Aetna$7750.8×4
Cigna$1,1171.2×5
Elevance/Anthem/Empire$1,0021.1×21
EmblemHealth$1,9742.1×11
Healthfirst$7840.8×1
MultiPlan/PHCS (rental network)$6060.7×2
Oscar$4890.5×2
UnitedHealthcare$1,1311.2×6
Hospital for Special Surgery median $3,728 · local Medicare $923 · file 2026-04-01
BCBS (other)$3,6704.0×3
Elevance/Anthem/Empire$3,7874.1×10
EmblemHealth$7,0597.6×4
UnitedHealthcare$2,9963.2×25
NYU Langone Hospitals (Orthopedic Hospital + Tisch files) median $5,432 · local Medicare $923 · file 2026-01-01
1199SEIU$5,9416.4×3
BCBS (other)$4,1004.4×16
Cigna$6,4877.0×22
Elevance/Anthem/Empire$4,1004.4×36
EmblemHealth$7,1637.8×18
UnitedHealthcare$4,9235.3×24

Questions

How much does wound debridement cost with commercial insurance in New York City?

3 New York City hospitals post usable commercial rates for CPT 11042, hospital outpatient. The median across hospitals is $1,770; hospital medians range from $482 to $3,670. Your cost depends on your plan's deductible and coinsurance.