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Pressure Sore Removal Over The Hip

Maine rates for HCPCS 15953

Surgical removal of a pressure sore over the trochanter, the bony prominence on the outer side of the upper thigh at the hip. The damaged skin and dead tissue are cut away and the underlying bony prominence is trimmed back so it no longer presses the tissue against the bed or chair. The resulting defect is covered with a flap of nearby healthy skin and tissue.

Rates data updated October 2026.

How much does Pressure Sore Removal Over The Hip cost?

$1,349

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $1,349 for this service. The price depends on where it is billed: about $1,318 from a physician practice, and about $2,239 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$1,318$1,000 to $1,660
FacilityA hospital or hospital-owned outpatient department$2,239$2,188 to $2,692

How much rates vary

Facilitymedian $2,239 · 10th to 90th $1,000 to $3,890Professionalmedian $1,318 · 10th to 90th $794 to $1,950
$1K$2K$5Kfacility $2,239professional $1,318

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$794.33
Median
$794.33
Typical High
$870.96
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$912.01
Median
$1,348.96
Typical High
$1,949.84
Anthem BCBS
Setting
Professional
Modifier
62 · Two surgeons
Typical Low
$575.44
Median
$851.14
Typical High
$1,230.27
Cigna
Setting
Facility
Modifier
None
Typical Low
$1,000.00
Median
$2,630.27
Typical High
$3,467.37
Cigna
Setting
Professional
Modifier
None
Typical Low
$1,122.02
Median
$1,174.90
Typical High
$2,290.87
Harvard Pilgrim
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$2,238.72
Typical High
$3,890.45
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,380.38
Typical High
$1,995.26
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
United
Setting
Facility
Modifier
None
Typical Low
$1,513.56
Median
$2,238.72
Typical High
$3,890.45
United
Setting
Professional
Modifier
None
Typical Low
$1,000.00
Median
$1,445.44
Typical High
$1,995.26

Where Maine sits

The same service costs 8.3 times more in Alaska than in Texas. 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.

Maine· 22nd of 51

$1,349

AK $4,074TX $490

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.