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Wound debridement in Pennsylvania: what insurers pay

Posted commercial rates at 4 Pennsylvania 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
Upmc Presbyterian Shadyside Pittsburgh$2,1365.4×12026-03-06
Riddle Memorial Hospital Media$2,6986.5×12026-04-01
Bryn Mawr Hospital Bryn Mawr$3,0737.3×12026-04-01

CPT 11043

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$3,4534.5×22026-04-01
Thomas Jefferson University Hospital Philadelphia$3,4594.6×12026-09-15
Bryn Mawr Hospital Bryn Mawr$3,6404.8×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$4,3876.1×12026-03-06

Questions

How much do insurers pay for wound debridement in Pennsylvania?

4 Pennsylvania 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 $2,698, 6.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.