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Unlisted Pressure Sore Removal Procedure

Pennsylvania 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?

$603

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $603 for this service. The price depends on where it is billed: about $7,244 from a physician practice, and about $589 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$7,244$1,585 to $58,884
FacilityA hospital or hospital-owned outpatient department$589$331 to $1,585

How much rates vary

Facilitymedian $589 · 10th to 90th $162 to $4,898Professionalmedian $7,244 · 10th to 90th $1,514 to $58,884
$100$1K$10Kfacility $589professional $7,244

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
$724.44
Median
$5,370.32
Typical High
$8,511.38
Aetna
Setting
Professional
Modifier
None
Typical Low
$891.25
Median
$1,584.89
Typical High
$7,244.36
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$2,511.89
Median
$2,570.40
Typical High
$56,234.13
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$56,234.13
Median
$58,884.37
Typical High
$58,884.37
Cigna
Setting
Facility
Modifier
None
Typical Low
$380.19
Median
$645.65
Typical High
$2,290.87
Highmark BCBS
Setting
Facility
Modifier
None
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$831.76
Median
$4,897.79
Typical High
$8,709.64
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$1,513.56
Median
$1,584.89
Typical High
$7,244.36
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$38.02
Median
$53.70
Typical High
$85.11
United
Setting
Facility
Modifier
None
Typical Low
$199.53
Median
$436.52
Typical High
$2,089.30

Where Pennsylvania 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.

Pennsylvania· 45th of 51

$603

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.