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Emergency Debridement of Genital Area Infection

Washington, DC rates for HCPCS 11004

Cuts away skin, fat, muscle and the tough sheets of tissue between them in the genital and perineal area when a rapidly spreading infection is destroying them. Everything dead or infected is removed back to healthy, bleeding tissue, which is the only way to stop the infection advancing. Repeat operations over the following days are usual.

Rates data updated October 2026.

How much does Emergency Debridement of Genital Area Infection cost?

$575

Typical physician fee. In Washington, DC, October 2026.

Insurers have agreed to pay about $575 for this service. Most negotiated rates run $537 to $741.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $1,413 · 10th to 90th $427 to $6,310Professionalmedian $562 · 10th to 90th $525 to $1,318
$500$1K$2K$5K$10Kfacility $1,413professional $562

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$562.34
Median
$1,698.24
Typical High
$7,943.28
Aetna
Setting
Professional
Modifier
None
Typical Low
$549.54
Median
$562.34
Typical High
$1,318.26
CareFirst
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$602.56
Typical High
$616.60
Cigna
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$524.81
Typical High
$1,479.11
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$537.03
Median
$1,174.90
Typical High
$1,288.25
United
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$1,412.54
Typical High
$6,309.57
United
Setting
Professional
Modifier
None
Typical Low
$436.52
Median
$616.60
Typical High
$1,513.56

Where Washington, DC sits

The same service costs 4.5 times more in Alaska than in New York. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Washington, DC· 40th of 51

$575

AK $2,291NY $513

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.