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Unlisted Pressure Sore Removal Procedure

Massachusetts 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?

$3,236

Typical facility fee. In Massachusetts, July 2026.

Insurers have agreed to pay about $3,236 for this service. Most negotiated rates run $2,089 to $3,715.

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.

How much rates vary

Facilitymedian $3,236 · 10th to 90th $1,047 to $5,623
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $3,236

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
$2,691.53
Median
$3,388.44
Typical High
$5,623.41
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$1,348.96
Typical High
$3,801.89
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$3,311.31
Typical High
$8,511.38
Harvard Pilgrim
Setting
Facility
Modifier
Global
Typical Low
$1,288.25
Median
$2,511.89
Typical High
$7,079.46
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$0.03
Median
$1,348.96
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$1,047.13
Median
$2,089.30
Typical High
$5,623.41

Where Massachusetts 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.

Massachusetts $3,236 · 26th 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.