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Wound Bed Preparation, Face/Hands/Feet

Montana rates for HCPCS 15004

This procedure prepares a wound on the face, hands, feet, or genital area to receive a skin graft or wound covering by surgically cleaning and removing damaged tissue from the wound bed. It creates a healthy surface that will allow a subsequent graft to attach and heal properly.

Rates data updated October 2026.

How much does Wound Bed Preparation, Face/Hands/Feet cost?

$843

Typical total for the visit. In Montana, October 2026.

Insurers have agreed to pay about $843 for this procedure. That total is two separate charges: $417 to the doctor who performs it, and $427 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$417$372 to $589
Facility feeThe hospital or surgery center$427$389 to $692

How much rates vary

Facilitymedian $427 · 10th to 90th $363 to $724Professionalmedian $417 · 10th to 90th $251 to $646
$100$200$500$1Kfacility $427professional $417

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$234.42
Median
$338.84
Typical High
$549.54
BCBS Montana
Setting
Facility
Modifier
None
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$407.38
Median
$407.38
Typical High
$616.60
Cigna
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$407.38
Typical High
$1,023.29
Cigna
Setting
Professional
Modifier
None
Typical Low
$346.74
Median
$457.09
Typical High
$616.60
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$389.05
Median
$457.09
Typical High
$724.44
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$251.19
Median
$416.87
Typical High
$741.31
Providence
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$407.38
Typical High
$1,023.29
Providence
Setting
Professional
Modifier
None
Typical Low
$245.47
Median
$407.38
Typical High
$616.60
United
Setting
Facility
Modifier
None
Typical Low
$186.21
Median
$199.53
Typical High
$524.81
United
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$537.03
Typical High
$724.44

Where Montana sits

The same service costs 5.5 times more in New York 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

Montana· 40th of 51

$843

$417 physician + $427 facility

NY $3,002MD $549

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.