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Unlisted Pressure Sore Removal Procedure

Texas 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?

$1,738

Typical negotiated rate. In Texas, July 2026.

Insurers have agreed to pay about $1,738 for this service. The price depends on where it is billed: about $1,000 from a physician practice, and about $1,778 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$1,000$3.72 to $3,715
FacilityA hospital or hospital-owned outpatient department$1,778$912 to $3,715

How much rates vary

Facilitymedian $1,778 · 10th to 90th $562 to $6,026Professionalmedian $1,000 · 10th to 90th $4 to $12,303
$10.0$100.0$1.0K$10.0Kfacility $1,778professional $1,000

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
$1,000.00
Median
$3,715.35
Typical High
$12,882.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$1,096.48
Typical High
$12,302.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$1,000.00
Typical High
$2,089.30
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$56.23
Typical High
$56.23
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,467.37
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$44.67
United
Setting
Facility
Modifier
Global
Typical Low
$416.87
Median
$1,412.54
Typical High
$3,467.37
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$758.58
Median
$758.58
Typical High
$758.58

Where Texas 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.

Texas $1,738 · 37th 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.