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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 October 2026.

How much does Unlisted Pressure Sore Removal Procedure cost?

$891

Typical negotiated rate. In Washington, October 2026.

Insurers have agreed to pay about $891 for this service. The price depends on where it is billed: about $50.12 from a physician practice, and about $933 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$50.12$48.98 to $363
FacilityA hospital or hospital-owned outpatient department$933$575 to $2,399

How much rates vary

Facilitymedian $933 · 10th to 90th $417 to $3,631Professionalmedian $50 · 10th to 90th $49 to $3,467
$50$200$1K$5K$20Kfacility $933professional $50

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
$4,677.35
Median
$11,220.18
Typical High
$27,542.29
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,288.25
Median
$1,380.38
Typical High
$4,365.16
Asuris Northwest Health
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$2,290.87
Typical High
$4,073.80
Asuris Northwest Health
Setting
Professional
Modifier
None
Typical Low
$302.00
Median
$363.08
Typical High
$3,467.37
Cigna
Setting
Facility
Modifier
None
Typical Low
$707.95
Median
$776.25
Typical High
$2,137.96
Molina
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$50.12
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$676.08
Regence BlueShield
Setting
Facility
Modifier
None
Typical Low
$1,348.96
Median
$2,041.74
Typical High
$3,890.45
United
Setting
Facility
Modifier
None
Typical Low
$371.54
Median
$691.83
Typical High
$2,754.23

Where Washington 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.

Washington· 27th of 51

$891

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.