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Wound debridement in San Francisco Bay Area CA

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
John Muir Medical Center - Walnut Creek Campus median $718 · local Medicare $574 · file 2026-03-23
Alignment Health$5741.0×1
BCBS (other)$1,1622.0×1
Brms$1,1622.0×1
Canopy Hn HMO$1,0501.8×1
Covid19 Hrsa Uninsured Testing And Treatment Fund$5741.0×1
Elevance/Anthem/Empire$1,1622.0×7
Essence Healthcare$5741.0×2
Generic Commercial/Indemnity$7181.3×1
Generic HMO$7181.3×1
Generic PPO$7181.3×1
John Muir Medical Center - Concord Campus median $718 · local Medicare $574 · file 2026-03-23
Alignment Health$5741.0×1
BCBS (other)$1,1622.0×2
Brms$1,1622.0×1
Canopy Hn HMO$1,0501.8×1
Covid19 Hrsa Uninsured Testing And Treatment Fund$5741.0×1
Elevance/Anthem/Empire$1,1622.0×7
Essence Healthcare$5741.0×2
Generic Commercial/Indemnity$7181.3×1
Generic HMO$7181.3×1
Generic PPO$7181.3×1
St Mary's Medical Center median $1,192 · local Medicare $588 · file 2026-04-01
Aetna$4,0356.9×1
Healthnet$6671.1×1
Heritage Provider Network$5881.0×2
Kaiser Permanente$1,3262.3×1
UnitedHealthcare$1,1922.0×2
Stanford Health Care Tri-Valley median $2,688 · local Medicare $574 · file 2026-04-01
Cigna$2,4244.2×1
UnitedHealthcare$2,9525.1×1
Good Samaritan Hospital median $3,183 · local Medicare $598 · file 2026-09-01
Bright Health$3,6806.2×1
Cigna$4,7027.9×1
MedCare Partners$5981.0×1
MultiPlan/PHCS (rental network)$2,6384.4×1
UnitedHealthcare$2,6864.5×1

CPT 11043

Hospital · insurerRate× MedicarePlans
John Muir Medical Center - Walnut Creek Campus median $1,162 · local Medicare $1,044 · file 2026-03-23
Alignment Health$1,0441.0×1
BCBS (other)$1,1621.1×1
Brms$1,1621.1×1
Canopy Hn HMO$1,9101.8×1
Covid19 Hrsa Uninsured Testing And Treatment Fund$1,0441.0×1
Elevance/Anthem/Empire$1,1621.1×7
Essence Healthcare$1,0441.0×2
Generic Commercial/Indemnity$1,3051.3×1
Generic HMO$1,3051.3×1
Generic PPO$1,3051.3×1
John Muir Medical Center - Concord Campus median $1,162 · local Medicare $1,044 · file 2026-03-23
Alignment Health$1,0441.0×1
BCBS (other)$1,1621.1×2
Brms$1,1621.1×1
Canopy Hn HMO$1,9101.8×1
Covid19 Hrsa Uninsured Testing And Treatment Fund$1,0441.0×1
Elevance/Anthem/Empire$1,1621.1×7
Essence Healthcare$1,0441.0×2
Generic Commercial/Indemnity$1,3051.3×1
Generic HMO$1,3051.3×1
Generic PPO$1,3051.3×1
St Mary's Medical Center median $2,072 · local Medicare $1,068 · file 2026-04-01
Aetna$4,0353.8×1
Blue Shield of California$7,3446.9×1
Healthnet$1,7321.6×1
Heritage Provider Network$1,0691.0×2
Kaiser Permanente$2,4112.3×1
UnitedHealthcare$1,1921.1×2
Stanford Health Care Tri-Valley median $4,090 · local Medicare $1,044 · file 2026-04-01
Aetna$5,2275.0×2
Blue Shield of California$7,4167.1×2
Cigna$2,4242.3×1
UnitedHealthcare$2,9522.8×1
Good Samaritan Hospital median $4,341 · local Medicare $1,087 · file 2026-09-01
Aetna$6,1935.7×2
Bright Health$3,6803.4×1
Cigna$5,0024.6×4
Elevance/Anthem/Empire$5,0224.6×2
MedCare Partners$1,0871.0×1
MultiPlan/PHCS (rental network)$2,6382.4×1
UnitedHealthcare$2,6862.5×1
Stanford Health Care median $5,216 · local Medicare $1,087 · file 2026-04-01
UnitedHealthcare$5,2164.8×1

Questions

How much does wound debridement cost with commercial insurance in San Francisco Bay Area CA?

5 San Francisco Bay Area CA hospitals post usable commercial rates for CPT 11042, hospital outpatient. The median across hospitals is $1,192; hospital medians range from $718 to $3,183. Your cost depends on your plan's deductible and coinsurance.