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Pressure Sore Removal Over The Sitting Bone

Maine rates for HCPCS 15941

Surgical removal of a pressure sore over the ischium, the bone you sit on at the base of the buttock. The damaged skin and underlying dead tissue are cut away, and the prominent part of the bone beneath is trimmed back so it no longer presses the tissue against a chair or bed. The area is then closed so it can heal.

Rates data updated July 2026.

How much does Pressure Sore Removal Over The Sitting Bone cost?

$1,148

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $1,148 for this service. Most negotiated rates run $977 to $1,413.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $5,888 · 10th to 90th $5,888 to $5,888Professionalmedian $1,148 · 10th to 90th $724 to $1,905
$1.0K$2.0K$5.0K$10.0Kfacility $5,888professional $1,148

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. 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
Global
Typical Low
$724.44
Median
$724.44
Typical High
$977.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,230.27
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,148.15
Typical High
$2,137.96
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1,071.52
Median
$1,230.27
Typical High
$1,905.46
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$724.44
Typical High
$3,090.30
United
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,258.93
Typical High
$1,905.46

Where Maine sits

The same service costs 6.8 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $1,148 · 36th of 51
CA $5,495DE $813

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.