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Deep Wound Cleaning With an Open Fracture, Including Bone

New Jersey rates for HCPCS 11012

This procedure cleans out damaged tissue and debris from a wound associated with an open fracture or dislocation, removing unhealthy tissue through the skin, underlying fat, muscle covering, muscle, and down to the bone itself. It represents the deepest and most extensive level of this wound-cleaning procedure, preparing the area for proper healing.

Rates data updated July 2026.

How much does Deep Wound Cleaning With an Open Fracture, Including Bone cost?

$5,973

Typical total for the visit. In New Jersey, July 2026.

Insurers have agreed to pay about $5,973 for this procedure. That total is two separate charges: $603 to the doctor who performs it, and $5,370 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 6 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$603$398 to $912
Facility feeThe hospital or surgery center$5,370$2,630 to $7,413

How much rates vary

Facilitymedian $5,370 · 10th to 90th $708 to $10,471Professionalmedian $603 · 10th to 90th $363 to $1,862
$500$1K$2K$5K$10K$20Kfacility $5,370professional $603

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$562.34
Median
$5,370.32
Typical High
$10,232.93
Aetna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$575.44
Typical High
$3,090.30
AmeriHealth
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$5,495.41
Typical High
$11,748.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$676.08
Typical High
$1,318.26
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$954.99
Typical High
$1,122.02
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$9,120.11
Typical High
$13,182.57
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$660.69
Typical High
$1,230.27
United
Setting
Facility
Modifier
Global
Typical Low
$1,778.28
Median
$3,548.13
Typical High
$7,762.47
United
Setting
Professional
Modifier
Global
Typical Low
$245.47
Median
$489.78
Typical High
$1,096.48

Where New Jersey sits

The same service costs 7.3 times more in Indiana than in Maryland. 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

New Jersey· 5th of 51

$5,973

$603 physician + $5,370 facility

IN $7,781MD $1,059

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.