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Sacral Pressure Sore Removal With Flap

Nationwide rates for HCPCS 15934

Surgical removal of a pressure sore over the sacrum, the broad bone at the base of the spine, cutting away the dead and infected tissue down to healthy tissue. The wound is then covered by rotating a flap of neighbouring skin and underlying tissue across it rather than stitching the edges together.

Rates data updated July 2026.

How much does Sacral Pressure Sore Removal With Flap cost?

$6,083

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $6,083 for this procedure. That total is two separate charges: $1,072 to the doctor who performs it, and $5,012 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 65 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$1,072$851 to $1,778
Facility feeThe hospital or surgery center$5,012$2,512 to $8,511

How much rates vary

Facilitymedian $5,012 · 10th to 90th $1,148 to $12,589Professionalmedian $1,072 · 10th to 90th $776 to $3,236
$200$500$1K$2K$5K$10K$20Kfacility $5,012professional $1,072

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
$1,000.00
Median
$4,073.80
Typical High
$10,964.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$933.25
Typical High
$3,467.37
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$6,918.31
Typical High
$14,791.08
BCBS
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,071.52
Typical High
$2,089.30
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,019.95
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,258.93
Typical High
$2,884.03
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$5,248.07
Typical High
$12,022.64
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,071.52
Typical High
$2,137.96

What it costs in each state

The same service costs 6.1 times more in Indiana than in West Virginia. 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

Touch or drag across the chart to see any state's rate.

IN $11,124WV $1,824

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.