Wound Debridement: What It Costs and What's Fair
CPT 11042 · Medicare rate: $56 · National avg charge: $1,079 · BillKarma data from 427 providers
Reviewed 2026-10-21 · Pricing data year: 2026
Estimates assume 20% coinsurance after deductible. Actual costs depend on your plan's negotiated rates, coinsurance, and out-of-pocket maximum. .
Your Insurance Plan
Wound Debridement (CPT 11042) is a surgical procedure typically performed in a hospital or accredited outpatient surgical center. It is usually recommended after more conservative treatments—such as medication or physical therapy—have not resolved the underlying problem. Recovery time ranges from a few days to several weeks depending on patient health and procedure complexity.
Cost by Billing Grade
| Grade | Avg Hospital Charge | Medicare Rate | Est. Patient Cost* | Hospitals |
|---|---|---|---|---|
| B | $493 | $56 | $99 | 8 |
| C | $1,004 | $56 | $201 | 18 |
| D | $672 | $56 | $134 | 6 |
| F | $1,283 | $56 | $257 | 53 |
| N/A | $1,072 | $56 | $214 | 342 |
*Estimated patient cost assumes 20% coinsurance after deductible is met. Actual cost depends on your specific plan, deductible status, and network.
Cost Range Across Hospitals
What This Procedure Typically Costs by Facility Type
Find Providers Near You for This Procedure
Showing 10 lowest-markup providers nationally across hospitals, surgery centers, and imaging centers. Enter ZIP code to compare local providers side by side.
| Provider | Type | Location | Grade | Charge | Benchmark | Markup |
|---|---|---|---|---|---|---|
| NORTHERN LIGHT BLUE HILL MEMORIAL HOSPITAL | Hospital | BLUE HILL, ME | N/A | $37 |
$56
Medicare OPPS
|
0.7x |
| TOMAH MEMORIAL HOSPITAL | Hospital | TOMAH, WI | N/A | $44 |
$56
Medicare OPPS
|
0.8x |
| Eastern Maine Healthcare Systems Inland Hospital | Hospital | Waterville, ME | N/A | $75 |
$56
Medicare OPPS
|
1.3x |
| Hale Ho'ola Hamakua | Hospital | Kula, HI | N/A | $85 |
$56
Medicare OPPS
|
1.5x |
| STEELE MEMORIAL MEDICAL CENTER | Hospital | SALMON, ID | N/A | $86 |
$56
Medicare OPPS
|
1.5x |
| BEAR LAKE MEMORIAL HOSPITAL | Hospital | MONTPELIER, ID | N/A | $101 |
$56
Medicare OPPS
|
1.8x |
| SHOSHONE MEDICAL CENTER | Hospital | KELLOGG, ID | N/A | $118 |
$56
Medicare OPPS
|
2.1x |
| Kimble Hospital - Health Clinic | Hospital | Junction, TX | N/A | $123 |
$56
Medicare OPPS
|
2.2x |
| Sebasticook Valley Health | Hospital | Pittsfield, ME | B | $137 |
$56
Medicare OPPS
|
2.5x |
| BENNETT COUNTY HOSPITAL AND NURSING HOME - CAH | Hospital | MARTIN, SD | N/A | $149 |
$56
Medicare OPPS
|
2.7x |
What Is a Fair Price for This Procedure?
Medicare pays $56 for Wound Debridement (CPT 11042). This rate is set by CMS based on the actual cost of delivering the procedure, including physician time, overhead, and equipment. It's the most reliable national benchmark for what the procedure is worth.
A hospital charging $112 (2x Medicare) or less earns an A billing grade — these are the most fairly priced facilities for this procedure. The national average charge is $1,079 (19.3x Medicare).
If your bill shows more than $167 (3x Medicare) for this procedure, it may be worth reviewing the charges carefully. Upload your bill to check →
Frequently Asked Questions
How much does Wound Debridement cost with insurance?
Does where I have Wound Debridement done affect my recovery?
How do I negotiate the cost of Wound Debridement if I'm on a high-deductible plan?
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