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Sacral Pressure Sore And Bone Removal, Flap

New Mexico rates for HCPCS 15935

Surgical removal of a pressure sore over the sacrum, the broad bone at the base of the spine, taking the damaged tissue together with the underlying bony prominence the skin was pressed against. The wound is then closed by rotating a flap of nearby skin and tissue across it.

Rates data updated July 2026.

How much does Sacral Pressure Sore And Bone Removal, Flap cost?

$3,079

Typical total for the visit. In New Mexico, July 2026.

Insurers have agreed to pay about $3,079 for this procedure. That total is two separate charges: $1,380 to the doctor who performs it, and $1,698 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$1,380$1,122 to $1,778
Facility feeThe hospital or surgery center$1,698$1,349 to $6,761

How much rates vary

Facilitymedian $1,698 · 10th to 90th $1,023 to $9,550Professionalmedian $1,380 · 10th to 90th $1,122 to $6,310
$50.0$200.0$1.0K$5.0Kfacility $1,698professional $1,380

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
$1,122.02
Median
$2,041.74
Typical High
$7,762.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,380.38
Typical High
$6,309.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,479.11
Typical High
$1,949.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$1,659.59
Providence
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$1,348.96
Typical High
$1,905.46
Providence
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,584.89
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$9,549.93
Typical High
$15,848.93
United
Setting
Professional
Modifier
Global
Typical Low
$1,174.90
Median
$1,621.81
Typical High
$2,041.74

Where New Mexico sits

The same service costs 5.2 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility feeNew Mexico $3,079 · 45th of 49
IN $11,329WV $2,193

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.