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Sacral Pressure Sore Removal With Direct Closure

Vermont 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?

$794

Typical physician fee. In Vermont, October 2026.

Insurers have agreed to pay about $794 for this service. Most negotiated rates run $724 to $1,122.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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.

How much rates vary

Facilitymedian $1,698 · 10th to 90th $468 to $2,818Professionalmedian $794 · 10th to 90th $692 to $1,479
$500$1K$2Kfacility $1,698professional $794

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
Professional
Modifier
None
Typical Low
$660.69
Median
$724.44
Typical High
$776.25
Cigna
Setting
Facility
Modifier
None
Typical Low
$467.74
Median
$467.74
Typical High
$2,818.38
Cigna
Setting
Professional
Modifier
None
Typical Low
$602.56
Median
$741.31
Typical High
$1,548.82
MVP Health Care
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$1,148.15
Typical High
$1,148.15
United
Setting
Facility
Modifier
None
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
United
Setting
Professional
Modifier
None
Typical Low
$724.44
Median
$977.24
Typical High
$1,659.59

Where Vermont sits

The same service costs 6.9 times more in Alaska than in Texas. 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.

Vermont· 33rd of 51

$794

AK $2,884TX $417

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.