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Unlisted Pressure Sore Removal Procedure

Washington 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?

$2,754

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $2,754 for this service. The price depends on where it is billed: about $1,288 from a physician practice, and about $2,884 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 8 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$1,288$75.86 to $3,802
FacilityA hospital or hospital-owned outpatient department$2,884$1,950 to $7,943

How much rates vary

Facilitymedian $2,884 · 10th to 90th $1,288 to $18,621Professionalmedian $1,288 · 10th to 90th $50 to $4,365
$100.0$1.0K$10.0Kfacility $2,884professional $1,288

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
$1,737.80
Median
$7,943.28
Typical High
$21,877.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,380.38
Typical High
$4,365.16
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$2,187.76
Typical High
$3,890.45
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$363.08
Cigna
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$645.65
Typical High
$1,122.02
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$630.96
Median
$2,884.03
Typical High
$5,128.61
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$50.12
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$1,698.24
Median
$1,698.24
Typical High
$1,698.24
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$1,348.96
Median
$2,089.30
Typical High
$3,801.89
United
Setting
Facility
Modifier
Global
Typical Low
$645.65
Median
$2,290.87
Typical High
$4,570.88

Where Washington 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.

Washington $2,754 · 28th 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.