Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonCPT 15958 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Surgical Repair Of Bed Sore, Surgery To Remove A Pressure Ulcer Or Bed Sore From The Hip Bone Where It Sticks Out. A Portion Of The Bone May Be Removed As Well. The Surgical Wound Is Closed With A Flap Of Muscle Tissue From Near The Wound.
| Key Fact | Detail |
|---|---|
| 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 Level | High |
| Medicare Fee Schedule | View Medicare rates for 15958 |
| Medicaid Fee Schedule | View Medicaid rates for 15958 |
National average reimbursement for CPT 15958 by major payers:
$1,566.39
$1,518.89
$1,470.76
$1,880.20
Compare published rates across providers.
Choose a payer to see a sample of rates for CPT 15958.
CPT 15958
5 of 25 sample ratesHigher to lower in this preview
Saint Vincent Hlth Ctr Spu
Highmark Health
$8,958.16Published rateMt Laurel Endoscopy Center L P
$3,350.00Published rateVance Thompson Vision Surgery Center Prof LLC, Vance Thompson Vision Surgery Center
$1,980.00Published rateHattiesburg Surgery Center, LLC
Hattiesburg Surgery Center LLC
$1,263.00Published rateAlternacare
$575.00Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalCPT 15958 vs. Other Surgical Procedures on the Integumentary System Codes
The CPT 15958 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 15958 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.
| Code | Complexity | Description |
|---|---|---|
| 15958-CPT | High | Surgical Repair Of Bed Sore, Surgery To Remove A Pressure Ulcer Or Bed Sore From The Hip Bone Where It Sticks Out. A Portion Of The Bone May Be Removed As Well. The Surgical Wound Is Closed With A Flap Of Muscle Tissue From Near The Wound. |
| 15999-CPT | High | Unlisted Proc Xcision Pressu Ulcer, Unlisted Procedure Excision Pressure Ulcer |
| 16000-CPT | Low | Initial Treatmn 1st Degree Burn When No More Than Local Treatm, Initial Treatment First Degree Burn When No More Than Local Treatmen |
| 19000-CPT | Low | Puncture Aspiration Breast Cyst |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 15958. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 15958 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.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like CPT 15958) and we'll show you how you compare in 15 minutes or less.