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Unlisted Pressure Sore Removal Procedure

New York 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?

$3,981

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $468 from a physician practice, and about $4,169 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 7 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$468$398 to $7,586
FacilityA hospital or hospital-owned outpatient department$4,169$2,818 to $7,413

How much rates vary

Facilitymedian $4,169 · 10th to 90th $1,862 to $10,965Professionalmedian $468 · 10th to 90th $4 to $11,482
$0.1$1.0$10.0$100.0$1.0K$10.0Kfacility $4,169professional $468

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
$1,905.46
Median
$5,754.40
Typical High
$11,481.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$6,309.57
Typical High
$11,481.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$467.74
Typical High
$467.74
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$1,348.96
Typical High
$4,073.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$34.67
Median
$34.67
Typical High
$34.67
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$398.11
Typical High
$398.11
United
Setting
Facility
Modifier
Global
Typical Low
$1,621.81
Median
$2,951.21
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Univera
Setting
Facility
Modifier
Global
Typical Low
$0.09
Median
$0.09
Typical High
$0.10
Univera
Setting
Professional
Modifier
Global
Typical Low
$0.09
Median
$0.09
Typical High
$0.10

Where New York 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.

New York $3,981 · 22nd 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.