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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 October 2026.

How much does Unlisted Pressure Sore Removal Procedure cost?

$1,413

Typical negotiated rate. In California, October 2026.

Insurers have agreed to pay about $1,413 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $1,479 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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$759$631 to $1,230
FacilityA hospital or hospital-owned outpatient department$1,479$813 to $5,495

How much rates vary

Facilitymedian $1,479 · 10th to 90th $417 to $151,356Professionalmedian $759 · 10th to 90th $513 to $11,220
$100$1K$10K$100Kfacility $1,479professional $759

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4,466.84
Median
$9,120.11
Typical High
$19,054.61
Aetna
Setting
Professional
Modifier
None
Typical Low
$5,011.87
Median
$8,912.51
Typical High
$21,379.62
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$7,762.47
Typical High
$20,892.96
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$38,904.51
Median
$38,904.51
Typical High
$38,904.51
Blue Shield
Setting
Facility
Modifier
None
Typical Low
$100.00
Median
$1,288.25
Typical High
$6,918.31
Blue Shield
Setting
Professional
Modifier
None
Typical Low
$562.34
Median
$724.44
Typical High
$1,148.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$457.09
Median
$1,047.13
Typical High
$10,000.00
Contra Costa Health
Setting
Professional
Modifier
None
Typical Low
$19,952.62
Median
$19,952.62
Typical High
$19,952.62
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$407.38
Typical High
$1,737.80
Molina
Setting
Professional
Modifier
None
Typical Low
$933.25
Median
$933.25
Typical High
$933.25
Providence
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$151,356.12
Typical High
$251,188.64
Providence
Setting
Professional
Modifier
None
Typical Low
$60.26
Median
$79.43
Typical High
$79.43
United
Setting
Facility
Modifier
None
Typical Low
$398.11
Median
$1,202.26
Typical High
$4,677.35

Where California sits

The same service costs 55.0 times more in Oklahoma than in Montana. 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.

California· 13th of 51

$1,413

OK $4,365MT $79.43

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.