CPT 11042Medical Service
Removal of Skin and Tissue 20 0 Sq Cm or Less
Removal of skin and tissue, 20.0 sq cm or less. Clinical pricing breakdown and utilization metrics across 10,712 practicing doctors nationwide.
$248.00
Peer Median Charge
Gross billed rate
$93.33
Standard Baseline
Customary allowable
2.7x
National Markup
Charge vs baseline
10,712
Active Physicians
Billing this code
Planning care or already received a bill for CPT 11042?Calculate total facility bundle costs or generate an assertive dispute settlement offer.
Understanding This Medical Fee
Gross Charge vs Negotiated Payment: The median physician charge for this service is $248.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $93.33 baseline.
Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.
Key Questions for Your Doctor's Billing Office:
- "Does Dr. [Name] participate in my specific insurance plan network?"
- "What is the total self-pay or cash rate for code 11042 if paid upfront?"
- "Are there separate facility, anesthesia, or pathology fees associated with this procedure?"
Top Doctors Performing Removal of Skin and Tissue 20 0 Sq Cm or Less
High-volume practitioners verified for this specific clinical procedure
Dr. Patrick Anastasio , D.O.
Internal Medicine • Fort Walton Beach, Florida
Active provider
Dr. Hooman Saberinia , MD
Internal Medicine • Concord, California
Active provider
Dr. Rabiul Alam , MD
Internal Medicine • Roswell, Georgia
Active provider
Dr. Steven Newman , MD
Internal Medicine • Naples, Florida
Active provider
Dr. Tatiana Sharahy , M.D.
Internal Medicine • Ridgewood, New Jersey
Active provider
Dr. Kashif Ali , M.D.
Internal Medicine • Greenbelt, Maryland
Active provider
Dr. George Camacho , M.D.
Internal Medicine • Jacksonville, Florida
Active provider
Dr. Jasmin Chaudhary , MD
Internal Medicine • Salem, Oregon
Active provider
Dr. Amardeep Aulakh , D.O.
Internal Medicine • Fresno, California
Active provider
Dr. Faisal Ali , M.D.
Internal Medicine • Brooklyn, New York
Active provider
Dr. Jeffrey Alper , MD P A
Internal Medicine • Naples, Florida
Active provider
Dr. Claude Abujrab-Saba , M.D.
Internal Medicine • Reston, Virginia
Active provider
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