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Removal Of A Hip Pressure Sore With Flap Closure

New Jersey rates for HCPCS 15952

Surgery to cut out a pressure sore over the bony point on the outer side of the hip, along with the dead and infected tissue around it. Once the area is clean, the wound is closed during the same operation with a flap of nearby skin moved across to cover it. The flap brings healthy, well-padded skin over the site so it can heal.

Rates data updated July 2026.

How much does Removal Of A Hip Pressure Sore With Flap Closure cost?

$1,479

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $1,479 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $6,918 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$871$776 to $1,514
FacilityA hospital or hospital-owned outpatient department$6,918$5,888 to $9,333

How much rates vary

Facilitymedian $6,918 · 10th to 90th $3,802 to $11,220Professionalmedian $871 · 10th to 90th $692 to $6,761
$1K$2K$5K$10Kfacility $6,918professional $871

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
$4,168.69
Median
$6,918.31
Typical High
$11,748.98
Aetna
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$812.83
Typical High
$8,912.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,071.52
Typical High
$2,089.30
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$1,148.15
Typical High
$1,348.96
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$6,606.93
Typical High
$9,120.11
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$1,047.13
Typical High
$1,737.80
United
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$6,165.95
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$870.96
Typical High
$1,659.59

Where New Jersey sits

The same service costs 6.6 times more in California than in Delaware. 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.

New Jersey· 20th of 51

$1,479

CA $5,248DE $794

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.