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Wound debridement in Virginia: what insurers pay

Posted commercial rates at 38 Virginia hospitals, each next to its own Medicare base rate.

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CPT 11042

HospitalMedian across insurers× MedicareInsurersFile date
Smyth County Community Hospital Marion$4721.2×42026-03-23
Russell County Hospital Lebanon$4741.2×42026-03-23
Johnston Memorial Hospital Abingdon$4741.2×42026-03-23
Lonesome Pine Hospital Big Stone Gap$5181.3×52026-03-23
Dickenson Community Hospital Clintwood$7411.9×32026-03-23
Sentara Northern Virginia Medical Center Woodbridge$8051.9×32026-04-01
Sentara Rmh Medical Center Harrisonburg$1,2513.1×12026-04-01
Inova Alexandria Hospital Alexandria$1,2643.0×72026-04-01
Inova Loudoun Hospital Leesburg$1,2643.0×72026-04-01
Inova Fairfax Hospital Falls Church$1,2643.0×72026-04-01
Inova Fair Oaks Hospital Fairfax$1,2643.0×72026-04-01
Inova Mount Vernon Hospital Alexandria$1,2643.0×72026-04-01
Sentara Halifax Regional Hospital South Boston$1,3783.5×12026-04-01
Augusta Health Fishersville$1,4113.5×32026-04-01
Sentara Martha Jefferson Hospital Charlottesville$1,4603.6×42026-04-01
Carilion Roanoke Memorial Hospital Roanoke$1,4803.7×12025-12-15
Carilion New River Valley Medical Center Christiansburg$1,7274.3×12025-12-15
Sentara Leigh Hospital Norfolk$1,7534.4×22026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$1,8064.5×22026-04-01
Sentara Princess Anne Hospital Virginia Beach$1,8364.6×22026-04-01
Sentara Careplex Hospital Hampton$1,8404.6×22026-04-01
Sentara Norfolk General Hospital Norfolk$1,8614.7×22026-04-01
Carilion Rockbridge Community Hospital Lexington$1,8974.8×12025-12-15
Sentara Williamsburg Regional Medical Center Williamsburg$1,9044.8×22026-04-01
Sentara Obici Hospital Suffolk$1,9464.9×22026-04-01
Carilion Franklin Memorial Hospital Rocky Mount$1,9925.0×12025-12-15
Carilion Giles Community Hospital Pearisburg$2,0965.3×12025-12-15
Fauquier Hospital Warrenton$2,1175.0×12026-07-14
Lewisgale Hospital Alleghany Low Moor$2,2185.6×22026-09-01
Spotsylvania Regional Medical Center Fredericksburg$2,2205.3×42026-09-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$2,2315.6×42026-09-01
Henrico Doctors' Hospital Richmond$2,2315.6×42026-09-01
Reston Hospital Center Reston$2,4155.7×52026-09-01
Stonesprings Hospital Center Dulles$2,4255.8×52026-09-01
Lewisgale Hospital Pulaski Pulaski$2,4366.1×22026-09-01
Tricities Hospital Hopewell$2,4526.2×32026-09-01
Lewisgale Medical Center Salem$2,4646.2×22026-09-01
Lewisgale Hospital Montgomery Blacksburg$2,7677.0×22026-09-01

CPT 11043

HospitalMedian across insurers× MedicareInsurersFile date
Lonesome Pine Hospital Big Stone Gap$7211.0×52026-03-23
Russell County Hospital Lebanon$7301.0×42026-03-23
Smyth County Community Hospital Marion$7301.0×42026-03-23
Johnston Memorial Hospital Abingdon$7301.0×42026-03-23
Dickenson Community Hospital Clintwood$7411.0×32026-03-23
Sentara Northern Virginia Medical Center Woodbridge$1,2001.6×42026-04-01
Inova Alexandria Hospital Alexandria$1,5402.0×82026-04-01
Inova Mount Vernon Hospital Alexandria$1,5472.0×82026-04-01
Inova Loudoun Hospital Leesburg$1,5522.0×82026-04-01
Inova Fair Oaks Hospital Fairfax$1,5562.0×82026-04-01
Inova Fairfax Hospital Falls Church$1,5662.0×82026-04-01
Sentara Martha Jefferson Hospital Charlottesville$2,0122.7×42026-04-01
Augusta Health Fishersville$2,0142.8×32026-04-01
Fauquier Hospital Warrenton$2,1172.8×12026-07-14
Sentara Rmh Medical Center Harrisonburg$2,2743.1×12026-04-01
Sentara Leigh Hospital Norfolk$2,3503.3×32026-04-01
Sentara Virginia Beach General Hospital Virginia Beach$2,3643.3×32026-04-01
Spotsylvania Regional Medical Center Fredericksburg$2,3773.1×52026-09-01
Sentara Careplex Hospital Hampton$2,3863.3×22026-04-01
Sentara Princess Anne Hospital Virginia Beach$2,4033.3×32026-04-01
Sentara Norfolk General Hospital Norfolk$2,4503.4×32026-04-01
Lewisgale Medical Center Salem$2,4643.4×22026-09-01
Sentara Williamsburg Regional Medical Center Williamsburg$2,4903.5×22026-04-01
Sentara Halifax Regional Hospital South Boston$2,5053.5×12026-04-01
CJW Medical Center (Chippenham + Johnston-Willis) Richmond$2,5143.5×62026-09-01
Henrico Doctors' Hospital Richmond$2,5143.5×62026-09-01
Lewisgale Hospital Alleghany Low Moor$2,6093.6×32026-09-01
Tricities Hospital Hopewell$2,6513.7×52026-09-01
Carilion Roanoke Memorial Hospital Roanoke$2,6903.7×12025-12-15
Reston Hospital Center Reston$2,7603.6×62026-09-01
Stonesprings Hospital Center Dulles$2,7653.6×62026-09-01
Sentara Obici Hospital Suffolk$2,8043.9×32026-04-01
Lewisgale Hospital Montgomery Blacksburg$2,9214.0×32026-09-01
Carilion New River Valley Medical Center Christiansburg$3,1404.4×12025-12-15
Lewisgale Hospital Pulaski Pulaski$3,4144.7×32026-09-01
Carilion Rockbridge Community Hospital Lexington$3,4494.8×12025-12-15
Carilion Giles Community Hospital Pearisburg$3,8105.3×12025-12-15

Questions

How much do insurers pay for wound debridement in Virginia?

38 Virginia hospitals post usable commercial rates for wound debridement in their federal price-transparency files. For CPT 11042, hospital outpatient, the median across 38 hospitals is $1,821, 4.6× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.