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Unlisted Pressure Sore Removal Procedure

Ohio 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?

$1,047

Typical negotiated rate. In Ohio, October 2026.

Insurers have agreed to pay about $1,047 for this service. The price depends on where it is billed: about $9,333 from a physician practice, and about $1,047 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 8 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$9,333$60.26 to $10,965
FacilityA hospital or hospital-owned outpatient department$1,047$525 to $3,715

How much rates vary

Facilitymedian $1,047 · 10th to 90th $407 to $10,715Professionalmedian $9,333 · 10th to 90th $60 to $13,804
$100$500$2K$10Kfacility $1,047professional $9,333

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$5,370.32
Median
$10,715.19
Typical High
$13,803.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,715.35
Median
$10,232.93
Typical High
$13,803.84
Anthem BCBS
Setting
Facility
Modifier
None
Typical Low
$489.78
Median
$2,187.76
Typical High
$12,022.64
CareSource
Setting
Facility
Modifier
None
Typical Low
$79,432.82
Median
$79,432.82
Typical High
$79,432.82
Cigna
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$588.84
Typical High
$2,691.53
Medical Mutual of Ohio
Setting
Facility
Modifier
None
Typical Low
$426.58
Median
$588.84
Typical High
$2,691.53
Molina
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$60.26
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
None
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
United
Setting
Facility
Modifier
None
Typical Low
$363.08
Median
$691.83
Typical High
$3,311.31

Where Ohio 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.

Ohio· 22nd of 51

$1,047

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.