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Sacral Pressure Sore Removal With Flap

Florida 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?

$7,769

Typical total for the visit. In Florida, July 2026.

Insurers have agreed to pay about $7,769 for this procedure. That total is two separate charges: $851 to the doctor who performs it, and $6,918 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 7 insurance carriers under federal price transparency rules.

What's inside this number

Part of the billTypicalRange
Physician feeThe doctor who performs it$851$776 to $1,047
Facility feeThe hospital or surgery center$6,918$2,455 to $10,965

How much rates vary

Facilitymedian $6,918 · 10th to 90th $1,000 to $14,125Professionalmedian $851 · 10th to 90th $724 to $1,413
$50$200$1K$5K$20Kfacility $6,918professional $851

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
$933.25
Median
$4,897.79
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$831.76
Typical High
$1,258.93
AvMed
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$3,715.35
Typical High
$11,220.18
AvMed
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$954.99
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$1,949.84
Typical High
$2,344.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,023.29
Typical High
$1,905.46
Florida Blue
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$12,302.69
Typical High
$23,442.29
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$691.83
Typical High
$1,047.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$741.31
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$7,943.28
Typical High
$12,882.50
United
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$933.25
Typical High
$1,737.80
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$1,000.00

Where Florida sits

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

Florida· 9th of 49

$7,769

$851 physician + $6,918 facility

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.