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Pressure Sore Removal Over The Sitting Bone

New Jersey rates for HCPCS 15945

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?

$8,199

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

Insurers have agreed to pay about $8,199 for this procedure. That total is two separate charges: $955 to the doctor who performs it, and $7,244 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$955$871 to $1,738
Facility feeThe hospital or surgery center$7,244$5,495 to $10,233

How much rates vary

Facilitymedian $7,244 · 10th to 90th $3,388 to $11,749Professionalmedian $955 · 10th to 90th $813 to $6,918
$1K$2K$5K$10Kfacility $7,244professional $955

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
$4,365.16
Median
$7,413.10
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$933.25
Typical High
$9,549.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$676.08
Median
$1,174.90
Typical High
$2,344.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,258.93
Typical High
$1,479.11
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$5,888.44
Typical High
$9,332.54
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$851.14
Median
$1,148.15
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$5,128.61
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$954.99
Typical High
$1,905.46

Where New Jersey sits

The same service costs 6.7 times more in California than in Maryland. 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

New Jersey· 6th of 49

$8,199

$955 physician + $7,244 facility

CA $10,009MD $1,494

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.