Pressure Sore Removal With Bone Trim And Flap Prep

Nationwide rates for HCPCS 15958

Cuts out a deep pressure sore along with the dead and scarred tissue around it, and shaves down the bony prominence underneath that has been pressing the skin from within. The wound is then shaped and prepared so it can be closed with a flap of nearby muscle and skin or with a graft. It is done for a long-standing sore that will not heal with dressings alone.

Rates data updated July 2026.

How much does Pressure Sore Removal With Bone Trim And Flap Prep cost?

$7,626

Typical total for the visit. Nationwide, July 2026.

Insurers have agreed to pay about $7,626 for this procedure. That total is two separate charges: $1,738 to the doctor who performs it, and $5,888 to the hospital or surgery center where it takes place. Done somewhere without a facility charge, you pay only the first.

23% physician fee77% facility fee

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 52 insurance carriers under federal price transparency rules.

What's inside this number

Part of the bill	Who charges it	Typical	Range
Physician feeThe doctor who performs it	The doctor who performs it	$1,738	$1,318 to $2,512
Facility feeThe hospital or surgery center	The hospital or surgery center	$5,888	$2,951 to $9,772

How much rates vary

Facilitymedian $5,888 · 10th to 90th $1,413 to $14,125Professionalmedian $1,738 · 10th to 90th $1,096 to $3,548

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	Facility/Professional	Modifier	Typical Low	Median	Typical High
Aetna Setting Facility Modifier Global Typical Low $1,202.26 Median $4,677.35 Typical High $12,022.64	Facility	Global	$1,202.26	$4,677.35	$12,022.64
BCBS Setting Facility Modifier Global Typical Low $3,090.30 Median $8,317.64 Typical High $16,218.10	Facility	Global	$3,090.30	$8,317.64	$16,218.10
Cigna Setting Facility Modifier Global Typical Low $1,445.44 Median $3,019.95 Typical High $9,332.54	Facility	Global	$1,445.44	$3,019.95	$9,332.54
United Setting Facility Modifier Global Typical Low $1,862.09 Median $5,248.07 Typical High $12,022.64	Facility	Global	$1,862.09	$5,248.07	$12,022.64

What it costs in each state

The same service costs 4.7 times more in California than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Physician feeFacility fee

CA $10,899MD $2,312

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.