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Removal Of A Hip Pressure Sore With Flap Closure

Pennsylvania 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?

$1,288

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1,288 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $4,074 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 9 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$794 to $1,096
FacilityA hospital or hospital-owned outpatient department$4,074$2,399 to $6,166

How much rates vary

Facilitymedian $4,074 · 10th to 90th $1,023 to $8,318Professionalmedian $871 · 10th to 90th $776 to $1,622
$200.0$1.0K$5.0K$20.0Kfacility $4,074professional $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
$1,023.29
Median
$4,786.30
Typical High
$8,317.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$831.76
Typical High
$1,584.89
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$4,466.84
Typical High
$57,543.99
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$1,513.56
Median
$1,548.82
Typical High
$1,548.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$1,621.81
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,445.44
Median
$1,445.44
Typical High
$1,445.44
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,122.02
Typical High
$1,513.56
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$3,890.45
Typical High
$8,317.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,000.00
Typical High
$5,011.87
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$933.25
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$954.99
Median
$1,949.84
Typical High
$3,388.44
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$1,659.59
Median
$3,311.31
Typical High
$6,309.57
United
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$977.24
Typical High
$1,778.28

Where Pennsylvania sits

The same service costs 6.6 times more in California than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Pennsylvania $1,288 · 27th of 51
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.