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CPT 15950 Fee Schedule

Last Verified: January 2026

Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.

Exc Trochanteric Ulcer Primary Suture
Key FactDetail
Service Type

Surgery

Surgical Procedures on the Integumentary System

Common Place of Service

21 - Inpatient Hospital

22 - On Campus Outpatient Hospital

Common Modifiers

None

51 - Multiple procedures

59 - Distinct Procedural Service

Complexity LevelModerate
Medicare Fee ScheduleView Medicare rates for 15950

National average reimbursement for CPT 15950 by major payers:

bcbs

$725.72

uhc

$767.52

aetna

$774.50

cigna

$1,005.84

Preview provider-level rates for...
For billing codeCPT 15950
PayerCodeRateNPITax IDStateSpecialty

Select a payer to view fee schedule data

Choose a payer from the options above to see rates for CPT 15950

United
15950$939.001255394771 - DOCTORS HOSPITAL SURGERY CENTER, L.P.861072579 - (GA) DOCTORS HOSPITAL SURGERY CENTER LPGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15950$1910.001093295545 - SURGERY CENTER 121 LLC831195079 - (TX) SURGERY CENTER 121 LLCTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
15950$1968.001962938332 - BANNER UNION HILLS SURGERY CENTER LLC901164193 - (AZ) BANNER UNION HILLS SURGERY CENTER LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
15950$1700.001245393602 - MARYAM RAHBAR, MD, INC., PACIFIC COAST SPINE INSTITUTE AND PAIN CENTER205511930 - (CA) MARYAM RAHBAR MD INCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15950$4141.001881620995 - MCKINNEY SURGERY CENTER, LP, THE SURGERY CENTRE AT CRAIG RANCH383897811TXAmbulatory Surgical Clinic/Center (261QA1903X)
United
15950$2299.001255991238 - LEE SUMMIT ASC KC LLC, BEACON SURGERY CENTER831077983 - (MO) LEE SUMMIT ASC KC LLCMOAmbulatory Surgical Clinic/Center (261QA1903X)
United
15950$2388.001760491385 - ENDOSCOPY CENTER OF NORTHERN OHIO, LLC341966846 - (OH) ENDOSCOPY CENTER OF NORTHERN OHIO LLCOHAmbulatory Surgical Clinic/Center (261QA1903X)
United
15950$5379.001659335438 - RESTON SURGERY CENTER, LP113654617 - (VA) RESTON SURGERY CENTER LPVAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15950$2859.001245605633 - HARBOR HEIGHTS SURGERY CENTER, LLC473886948 - (MD) HARBOR HEIGHTS SURGERY CENTER LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
15950$1600.001154046019 - GEORGIA INTERVENTIONAL PAIN880572909 - (GA) GEORGIA INTERVENTIONAL PAINGAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15950$2859.001215091087 - CORPUS CHRISTI SURGICARE LTD, CHRISTUS SPOHN TEXAS ORTHOPEDIC CENTER OF EXCELLENCE753049514 - (TX) CORPUS CHRISTI SURGICARE LTDTXAmbulatory Surgical Clinic/Center (261QA1903X)
United
15950$691.001518208883 - ASC DEVELOPMENT COMPANY, LLC203405773 - (MD) ASC DEVELOPMENT COMPANY LLCMDAmbulatory Surgical Clinic/Center (261QA1903X)
United
15950$2730.001992752224 - SPRINGFIELD CLINIC LLP, SPRINGFIELD CLINIC AMBULATORY SURGERY CENTER370701328 - (IL) SPRINGFIELD CLINIC, LLPILAmbulatory Surgical Clinic/Center (261QA1903X)
United
15950$1714.001497746747 - PHYSICIANS' SURGERY CENTER OF VICTORVILLE LLC260057464 - (CA) PHYSICIANS SURGERY CENTER OF VICTORVILLE, LLCCAAmbulatory Surgical Clinic/Center (261QA1903X)
United
15950$2388.001093085904 - ARIZONA ADVANCED ENDOSCOPY LLC453051125 - (AZ) ARIZONA ADVANCED ENDOSCOPY, LLCAZAmbulatory Surgical Clinic/Center (261QA1903X)
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist
United
99202$100.0012345678901234567890CACardiologist

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CPT 15950 vs. Other Surgical Procedures on the Integumentary System Codes

The CPT 15950 code is part of the Surgery services used for Surgical Procedures on the Integumentary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.

The CPT 15950 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.

CodeComplexityDescription
15936-CPTHighExc Sacral Ulcer W/Muscle Flap
15950-CPTModerateExc Trochanteric Ulcer Primary Suture
15951-CPTHighExc Decub Ulc Trochan W Ostectomy
15952-CPTHighExc Trochanteric Ulcer W/Flap Close

What is a fee schedule?

A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15950. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.

Understanding the 15950 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.

Factors that affect fee schedules


Medicare & Medicaid Rates

Government-set reimbursement amounts


Private Insurance Rates

Negotiated rates between providers and insurance companies


Geographic Location

Costs may be higher in urban areas.


Provider Type

Hospital providers may have different rates than private practice.

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