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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 |
|---|---|---|---|
| Forbes Hospital median $576 · local Medicare $396 · file 2026-04-14 | |||
| Aetna | $1,095 | 2.8× | 1 |
| Cigna | $1,122 | 2.8× | 2 |
| Highmark BCBS | $576 | 1.5× | 14 |
| Humana | $407 | 1.0× | 1 |
| Martin's Point | $379 | 1.0× | 2 |
| UnitedHealthcare | $1,183 | 3.0× | 2 |
| University of Pittsburgh Medical Center | $363 | 0.9× | 1 |
| Upmc Washington median $681 · local Medicare $396 · file 2026-03-06 | |||
| Aetna | $600 | 1.5× | 2 |
| City of Washington | $762 | 1.9× | 1 |
| Highmark BCBS | $791 | 2.0× | 6 |
| UPMC Health Plan | $389 | 1.0× | 1 |
| Allegheny Valley Hospital median $812 · local Medicare $396 · file 2026-04-14 | |||
| Aetna | $970 | 2.4× | 1 |
| Cigna | $1,094 | 2.8× | 2 |
| Highmark BCBS | $653 | 1.6× | 14 |
| Humana | $407 | 1.0× | 1 |
| Martin's Point | $379 | 1.0× | 2 |
| UnitedHealthcare | $1,183 | 3.0× | 2 |
| Ahn Wexford Hospital median $874 · local Medicare $396 · file 2026-04-14 | |||
| Aetna | $1,168 | 2.9× | 1 |
| Cigna | $1,275 | 3.2× | 2 |
| Highmark BCBS | $581 | 1.5× | 14 |
| Humana | $407 | 1.0× | 1 |
| Martin's Point | $379 | 1.0× | 2 |
| UnitedHealthcare | $1,246 | 3.1× | 2 |
| Jefferson Hospital median $936 · local Medicare $396 · file 2026-04-14 | |||
| Aetna | $936 | 2.4× | 1 |
| Cigna | $945 | 2.4× | 2 |
| Highmark BCBS | $512 | 1.3× | 13 |
| Humana | $407 | 1.0× | 1 |
| Martin's Point | $379 | 1.0× | 2 |
| UnitedHealthcare | $1,259 | 3.2× | 1 |
| University of Pittsburgh Medical Center | $1,197 | 3.0× | 1 |
| Allegheny General Hospital median $1,006 · local Medicare $396 · file 2026-04-14 | |||
| Aetna | $1,285 | 3.2× | 1 |
| Cigna | $1,275 | 3.2× | 2 |
| Highmark BCBS | $736 | 1.9× | 14 |
| Humana | $407 | 1.0× | 1 |
| Martin's Point | $379 | 1.0× | 2 |
| UnitedHealthcare | $1,306 | 3.3× | 2 |
| Upmc East median $1,154 · local Medicare $396 · file 2026-03-06 | |||
| Highmark BCBS | $1,919 | 4.8× | 4 |
| UPMC Health Plan | $389 | 1.0× | 1 |
| Upmc Mercy median $1,156 · local Medicare $396 · file 2026-03-06 | |||
| Highmark BCBS | $1,922 | 4.9× | 2 |
| Private Health Care Systems (rental network) | $596 | 1.5× | 1 |
| UPMC Health Plan | $391 | 1.0× | 2 |
| Upmc St Margaret median $1,480 · local Medicare $396 · file 2026-03-06 | |||
| Highmark BCBS | $1,919 | 4.8× | 4 |
| UPMC Health Plan | $1,040 | 2.6× | 1 |
| Upmc Passavant median $1,483 · local Medicare $396 · file 2026-03-07 | |||
| Highmark BCBS | $1,919 | 4.8× | 4 |
| UPMC Health Plan | $1,047 | 2.6× | 1 |
| Upmc Presbyterian Shadyside median $1,509 · local Medicare $396 · file 2026-03-06 | |||
| Highmark BCBS | $2,136 | 5.4× | 2 |
| UPMC Health Plan | $882 | 2.2× | 1 |
| Magee Womens Hospital Of Upmc Health System median $1,703 · local Medicare $396 · file 2026-03-06 | |||
| Highmark BCBS | $2,493 | 6.3× | 3 |
| UPMC Health Plan | $913 | 2.3× | 2 |
CPT 11043
| Hospital · insurer | Rate | × Medicare | Plans |
|---|---|---|---|
| Forbes Hospital median $961 · local Medicare $720 · file 2026-04-14 | |||
| Aetna | $1,678 | 2.3× | 1 |
| Cigna | $1,719 | 2.4× | 2 |
| Highmark BCBS | $961 | 1.3× | 13 |
| Humana | $624 | 0.9× | 1 |
| Martin's Point | $579 | 0.8× | 2 |
| UnitedHealthcare | $1,812 | 2.5× | 2 |
| University of Pittsburgh Medical Center | $363 | 0.5× | 1 |
| Upmc Washington median $1,043 · local Medicare $720 · file 2026-03-06 | |||
| Aetna | $919 | 1.3× | 2 |
| City of Washington | $1,167 | 1.6× | 1 |
| Highmark BCBS | $1,211 | 1.7× | 6 |
| UPMC Health Plan | $595 | 0.8× | 1 |
| Jefferson Hospital median $1,196 · local Medicare $720 · file 2026-04-14 | |||
| Aetna | $1,435 | 2.0× | 1 |
| Cigna | $1,448 | 2.0× | 2 |
| Highmark BCBS | $785 | 1.1× | 13 |
| Humana | $624 | 0.9× | 1 |
| Martin's Point | $579 | 0.8× | 2 |
| UnitedHealthcare | $1,929 | 2.7× | 1 |
| University of Pittsburgh Medical Center | $1,196 | 1.7× | 1 |
| Allegheny Valley Hospital median $1,243 · local Medicare $720 · file 2026-04-14 | |||
| Aetna | $1,486 | 2.1× | 1 |
| Cigna | $1,677 | 2.3× | 2 |
| Highmark BCBS | $1,000 | 1.4× | 14 |
| Humana | $624 | 0.9× | 1 |
| Martin's Point | $579 | 0.8× | 2 |
| UnitedHealthcare | $1,812 | 2.5× | 2 |
| Upmc Mercy median $1,260 · local Medicare $720 · file 2026-03-06 | |||
| Highmark BCBS | $1,922 | 2.7× | 4 |
| Private Health Care Systems (rental network) | $596 | 0.8× | 1 |
| UPMC Health Plan | $599 | 0.8× | 2 |
| Ahn Wexford Hospital median $1,376 · local Medicare $720 · file 2026-04-14 | |||
| Aetna | $1,790 | 2.5× | 1 |
| Cigna | $1,954 | 2.7× | 2 |
| Highmark BCBS | $961 | 1.3× | 13 |
| Humana | $624 | 0.9× | 1 |
| Martin's Point | $579 | 0.8× | 2 |
| UnitedHealthcare | $1,908 | 2.6× | 2 |
| Allegheny General Hospital median $1,541 · local Medicare $720 · file 2026-04-14 | |||
| Aetna | $1,968 | 2.7× | 1 |
| Cigna | $1,954 | 2.7× | 2 |
| Highmark BCBS | $1,128 | 1.6× | 14 |
| Humana | $624 | 0.9× | 1 |
| Martin's Point | $579 | 0.8× | 2 |
| UnitedHealthcare | $2,001 | 2.8× | 2 |
| Upmc East median $1,545 · local Medicare $720 · file 2026-03-06 | |||
| Highmark BCBS | $2,494 | 3.5× | 5 |
| UPMC Health Plan | $596 | 0.8× | 1 |
| Upmc Passavant median $1,719 · local Medicare $720 · file 2026-03-07 | |||
| Highmark BCBS | $2,392 | 3.3× | 5 |
| UPMC Health Plan | $1,046 | 1.5× | 1 |
| Upmc St Margaret median $1,766 · local Medicare $720 · file 2026-03-06 | |||
| Highmark BCBS | $2,494 | 3.5× | 5 |
| UPMC Health Plan | $1,039 | 1.4× | 1 |
| Magee Womens Hospital Of Upmc Health System median $1,953 · local Medicare $720 · file 2026-03-06 | |||
| Highmark BCBS | $2,890 | 4.0× | 5 |
| UPMC Health Plan | $1,016 | 1.4× | 2 |
| Upmc Presbyterian Shadyside median $2,634 · local Medicare $720 · file 2026-03-06 | |||
| Highmark BCBS | $4,387 | 6.1× | 5 |
| UPMC Health Plan | $881 | 1.2× | 1 |
Questions
How much does wound debridement cost with commercial insurance in Pittsburgh PA?
12 Pittsburgh PA hospitals post usable commercial rates for CPT 11042, hospital outpatient. The median across hospitals is $1,080; hospital medians range from $576 to $1,703. Your cost depends on your plan's deductible and coinsurance.