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Pressure Sore Removal With Bone Trim And Flap Prep

California 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?

$9,120

Typical facility fee. In California, July 2026.

Insurers have agreed to pay about $9,120 for this service. Most negotiated rates run $6,166 to $12,882.

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.

How much rates vary

Facilitymedian $9,550 · 10th to 90th $3,631 to $17,783Professionalmedian $1,349 · 10th to 90th $1,000 to $2,512
$100.0$1.0K$10.0Kfacility $9,550professional $1,349

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
$3,630.78
Median
$7,943.28
Typical High
$22,908.68
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$10,471.29
Typical High
$17,782.79
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$6,165.95
Typical High
$12,589.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,905.46
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$831.76
Median
$1,258.93
Typical High
$1,584.89
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,348.96
Typical High
$2,570.40
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$10,964.78
Median
$33,884.42
Typical High
$33,884.42
Providence
Setting
Facility
Modifier
Global
Typical Low
$1,023.29
Median
$1,348.96
Typical High
$1,905.46
United
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$9,772.37
Typical High
$20,892.96

Where California sits

The same service costs 9.1 times more in Indiana than in West Virginia. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $9,120 · 2nd of 49
IN $10,233WV $1,122

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.