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Emergency Debridement of Genital Area Infection

West Virginia 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?

$1,292

Typical total for the visit. In West Virginia, October 2026.

Insurers have agreed to pay about $1,292 for this procedure. That total is two separate charges: $631 to the doctor who performs it, and $661 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

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 4 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$631$562 to $933
Facility feeThe hospital or surgery center$661$562 to $871

How much rates vary

Facilitymedian $661 · 10th to 90th $35 to $891Professionalmedian $631 · 10th to 90th $479 to $1,660
$50$100$200$500$1K$2Kfacility $661professional $631

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
$1,412.54
Median
$1,412.54
Typical High
$1,412.54
Aetna
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$562.34
Typical High
$645.65
CareSource
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Cigna
Setting
Facility
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$891.25
Cigna
Setting
Professional
Modifier
None
Typical Low
$446.68
Median
$630.96
Typical High
$3,311.31
United
Setting
Facility
Modifier
None
Typical Low
$151.36
Median
$660.69
Typical High
$870.96
United
Setting
Professional
Modifier
None
Typical Low
$478.63
Median
$691.83
Typical High
$1,380.38

Where West Virginia sits

The same service costs 5.9 times more in Alaska than in Arkansas. 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.

Physician feeFacility fee

West Virginia· 47th of 51

$1,292

$631 physician + $661 facility

AK $6,557AR $1,118

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.