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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 |
|---|---|---|---|
| Temple University Hospital median $564 · local Medicare $418 · file 2026-04-13 | |||
| Aetna | $937 | 2.2× | 5 |
| Cigna | $564 | 1.3× | 1 |
| Highmark BCBS | $1,361 | 3.3× | 1 |
| Oscar | $641 | 1.5× | 1 |
| Pennsylvania Health and Wellness | $521 | 1.2× | 1 |
| Prime Health Services (rental network) | $680 | 1.6× | 1 |
| UnitedHealthcare | $427 | 1.0× | 1 |
| WTC Health Program | $534 | 1.3× | 1 |
| Jefferson Einstein Montgomery Hospital median $1,607 · local Medicare $396 · file 2026-09-15 | |||
| Geisinger | $1,612 | 4.1× | 1 |
| Highmark BCBS | $1,024 | 2.6× | 1 |
| Independence Blue Cross | $2,568 | 6.5× | 3 |
| UnitedHealthcare | $1,602 | 4.0× | 2 |
| Jefferson Health-Northeast median $1,842 · local Medicare $418 · file 2026-09-15 | |||
| Geisinger | $1,660 | 4.0× | 1 |
| Highmark BCBS | $1,055 | 2.5× | 1 |
| Independence Blue Cross | $2,935 | 7.0× | 3 |
| UnitedHealthcare | $2,023 | 4.8× | 1 |
| Riddle Memorial Hospital median $2,698 · local Medicare $418 · file 2026-04-01 | |||
| Independence Blue Cross | $2,698 | 6.5× | 4 |
| Jefferson Abington Hospital median $2,976 · local Medicare $396 · file 2026-09-15 | |||
| Aetna | $2,976 | 7.5× | 2 |
| Independence Blue Cross | $3,148 | 7.9× | 2 |
| UnitedHealthcare | $1,223 | 3.1× | 1 |
| Paoli Hospital median $2,989 · local Medicare $396 · file 2026-04-01 | |||
| Independence Blue Cross | $2,989 | 7.5× | 4 |
| Bryn Mawr Hospital median $3,073 · local Medicare $418 · file 2026-04-01 | |||
| Independence Blue Cross | $3,073 | 7.4× | 4 |
| Lankenau Medical Center median $3,153 · local Medicare $396 · file 2026-04-01 | |||
| Independence Blue Cross | $3,153 | 8.0× | 4 |
| Inspira Medical Center Mullica Hill median $3,311 · local Medicare $457 · file 2026-03-24 | |||
| AmeriHealth | $3,311 | 7.2× | 1 |
| Horizon BCBS NJ | $3,415 | 7.5× | 5 |
| Independence Blue Cross | $3,311 | 7.2× | 1 |
| UnitedHealthcare | $2,506 | 5.5× | 2 |
CPT 11043
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Temple University Hospital median $1,820 · local Medicare $759 · file 2026-04-13 | |||
| Aetna | $2,605 | 3.4× | 3 |
| Cigna | $1,025 | 1.4× | 1 |
| Geisinger | $3,750 | 4.9× | 1 |
| Highmark BCBS | $2,475 | 3.3× | 1 |
| Independence Blue Cross | $4,148 | 5.5× | 3 |
| Oscar | $1,165 | 1.5× | 1 |
| Prime Health Services (rental network) | $1,237 | 1.6× | 1 |
| UnitedHealthcare | $777 | 1.0× | 1 |
| WTC Health Program | $971 | 1.3× | 1 |
| Jefferson Einstein Montgomery Hospital median $2,519 · local Medicare $720 · file 2026-09-15 | |||
| Aetna | $3,654 | 5.1× | 1 |
| Cigna | $3,853 | 5.4× | 2 |
| Geisinger | $2,470 | 3.4× | 1 |
| Highmark BCBS | $1,570 | 2.2× | 1 |
| Independence Blue Cross | $2,568 | 3.6× | 3 |
| UnitedHealthcare | $1,602 | 2.2× | 2 |
| Jefferson Abington Hospital median $3,148 · local Medicare $720 · file 2026-09-15 | |||
| Aetna | $3,072 | 4.3× | 3 |
| Cigna | $3,888 | 5.4× | 2 |
| Independence Blue Cross | $3,148 | 4.4× | 3 |
| UPMC Commercial | $4,666 | 6.5× | 1 |
| UnitedHealthcare | $1,223 | 1.7× | 1 |
| Jefferson Health-Northeast median $3,170 · local Medicare $759 · file 2026-09-15 | |||
| Aetna | $3,654 | 4.8× | 1 |
| Cigna | $3,853 | 5.1× | 2 |
| Geisinger | $2,543 | 3.4× | 1 |
| Highmark BCBS | $1,616 | 2.1× | 1 |
| Independence Blue Cross | $2,935 | 3.9× | 3 |
| UnitedHealthcare | $3,406 | 4.5× | 2 |
| Inspira Medical Center Mullica Hill median $3,363 · local Medicare $832 · file 2026-03-24 | |||
| Aetna | $4,105 | 4.9× | 1 |
| AmeriHealth | $3,311 | 4.0× | 1 |
| Cigna | $3,943 | 4.7× | 1 |
| Horizon BCBS NJ | $3,415 | 4.1× | 5 |
| Independence Blue Cross | $3,311 | 4.0× | 1 |
| UnitedHealthcare | $2,506 | 3.0× | 2 |
| Riddle Memorial Hospital median $3,453 · local Medicare $759 · file 2026-04-01 | |||
| Aetna | $4,208 | 5.5× | 3 |
| Independence Blue Cross | $2,698 | 3.6× | 4 |
| Thomas Jefferson University Hospital median $3,459 · local Medicare $759 · file 2026-09-15 | |||
| Independence Blue Cross | $3,459 | 4.6× | 2 |
| Paoli Hospital median $3,598 · local Medicare $720 · file 2026-04-01 | |||
| Aetna | $4,208 | 5.8× | 3 |
| Independence Blue Cross | $2,989 | 4.2× | 4 |
| Bryn Mawr Hospital median $3,640 · local Medicare $759 · file 2026-04-01 | |||
| Aetna | $4,208 | 5.5× | 3 |
| Independence Blue Cross | $3,073 | 4.0× | 4 |
| Lankenau Medical Center median $3,680 · local Medicare $720 · file 2026-04-01 | |||
| Aetna | $4,208 | 5.8× | 3 |
| Independence Blue Cross | $3,153 | 4.4× | 4 |
| Jefferson Stratford Hospital median $6,099 · local Medicare $832 · file 2026-09-15 | |||
| Cigna | $5,550 | 6.7× | 1 |
| UnitedHealthcare | $6,648 | 8.0× | 1 |
Questions
How much does wound debridement cost with commercial insurance in Philadelphia PA?
9 Philadelphia PA hospitals post usable commercial rates for CPT 11042, hospital outpatient. The median across hospitals is $2,976; hospital medians range from $564 to $3,311. Your cost depends on your plan's deductible and coinsurance.