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Sacral Pressure Sore Removal With Direct Closure

Montana rates for HCPCS 15931

Cuts out a pressure sore over the sacrum, the broad bone at the base of the spine between the hips, along with the damaged tissue around it, then draws the wound edges together and stitches them closed at the same operation. No underlying bone is taken away and no flap or graft is brought in to cover the area. It suits sores where there is enough healthy skin nearby to close the gap directly.

Rates data updated October 2026.

How much does Sacral Pressure Sore Removal With Direct Closure cost?

$2,175

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

Insurers have agreed to pay about $2,175 for this procedure. That total is two separate charges: $1,000 to the doctor who performs it, and $1,175 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 5 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,000$724 to $1,122
Facility feeThe hospital or surgery center$1,175$1,148 to $1,349

How much rates vary

Facilitymedian $1,175 · 10th to 90th $977 to $1,995Professionalmedian $1,000 · 10th to 90th $79 to $1,202
$100$200$500$1K$2K$5Kfacility $1,175professional $1,000

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
$660.69
Median
$691.83
Typical High
$707.95
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,995.26
Typical High
$5,754.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,122.02
Typical High
$1,122.02
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$977.24
Median
$1,148.15
Typical High
$1,258.93
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$741.31
Median
$1,148.15
Typical High
$1,230.27
Providence
Setting
Facility
Modifier
None
Typical Low
$1,122.02
Median
$1,995.26
Typical High
$5,754.40
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$954.99
Typical High
$1,122.02
United
Setting
Facility
Modifier
None
Typical Low
$1,445.44
Median
$2,238.72
Typical High
$3,162.28
United
Setting
Professional
Modifier
None
Typical Low
$1,047.13
Median
$1,148.15
Typical High
$1,288.25

Where Montana sits

The same service costs 3.5 times more in Oklahoma 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· 45th of 51

$2,175

$1,000 physician + $1,175 facility

OK $6,942MD $1,996

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.