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Unlisted Pressure Sore Removal Procedure

California rates for HCPCS 15999

Surgical removal of a pressure sore (bedsore) and the damaged tissue around it, in a form that has no standard named entry of its own. Pressure sores form where sustained pressure over a bony area breaks down skin and the tissue beneath it. The surgeon submits a written report describing what was performed.

Rates data updated July 2026.

How much does Unlisted Pressure Sore Removal Procedure cost?

$6,026

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $6,026 for this service. The price depends on where it is billed: about $4,467 from a physician practice, and about $6,457 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$4,467$100 to $9,550
FacilityA hospital or hospital-owned outpatient department$6,457$3,090 to $10,965

How much rates vary

Facilitymedian $6,457 · 10th to 90th $1,122 to $17,378Professionalmedian $4,467 · 10th to 90th $100 to $18,621
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $6,457professional $4,467

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
$4,897.79
Median
$10,471.29
Typical High
$23,442.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$8,912.51
Typical High
$25,703.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,090.30
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$38,904.51
Typical High
$38,904.51
Blue Shield
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$4,570.88
Typical High
$9,772.37
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$912.01
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$19,952.62
Median
$19,952.62
Typical High
$19,952.62
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$398.11
Typical High
$1,698.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$56.23
Molina
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,951.21
Typical High
$8,317.64

Where California sits

The same service costs 3090.3 times more in Wisconsin than in Maryland. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $6,026 · 10th of 50
WI $11,482MD $3.72

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.