Price Checker / CPT 11042
How much does Dbrdmt Subq Tis 1st 20sqcm/< cost?
CPT 11042 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 30x the fair price — among the most extreme markups. Dispute this.
Fair price
$200–$400
What this should cost
With insurance
~$68,600
Typical out-of-pocket
Overcharged if over
$500
Push back above this
The average hospital charge of $9,084 is $8,784 over the fair price (about 30x the fair rate).
What hospitals charge for Dbrdmt Subq Tis 1st 20sqcm/<
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| WTH Dyersburg Hospital , TN | — | $417 | 42570% |
| Franciscan Health Lafayette LAFAYETTE, IN | $25,402 | $6,528 | 19057% |
| Franciscan Health Orthopedic-Carmel , IN | $24,478 | $6,438 | 18360% |
| Castleview Hospital PRICE, UT | $19,587 | — | 14671% |
| Long Island Jewish Forest Hills , NY | — | $4,595 | 11849% |
| Staten Island University Hospital STATEN ISLAND, NY | — | $4,595 | 10353% |
| Mather Hospital , NY | — | $4,595 | 9757% |
| Baptist Health-Fort Smith FORT SMITH, AR | $11,947 | $2,987 | 8910% |
| Baptist Health Medical Center-Conway CONWAY, AR | $11,947 | $2,987 | 8910% |
| Baptist Health Medical Center-Drew County MONTICELLO, AR | $11,947 | $2,987 | 8910% |
| Baptist Health Medical Center-Hot Spring County , AR | $11,947 | $2,987 | 8910% |
| Baptist Health Medical Center-Little Rock LITTLE ROCK, AR | $11,947 | $2,987 | 8910% |
| Baptist Health Medical Center-North Little Rock NORTH LITTLE ROCK, AR | $11,947 | $2,987 | 8910% |
| Baptist Health Medical Center-Stuttgart STUTTGART, AR | $11,947 | $2,987 | 8910% |
| Baptist Health-Van Buren VAN BUREN, AR | $11,947 | $2,987 | 8910% |
Were you billed for this procedure?
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About Dbrdmt Subq Tis 1st 20sqcm/<
CPT code 11042 refers to dbrdmt subq tis 1st 20sqcm/< (billing description: "Dbrdmt subq tis 1st 20sqcm/<"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $56 in a facility (hospital or surgery center) and $133 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.