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  5. /Percent of billed charges
HCPCS 15920

Removal of pressure sore tissue and tailbone with closure

Reported by 7 hospitals in the network under the percent of billed charges methodology.

Filter by billing methodology

All methodologiesAggregated across all available billing methodologies for this code.Case rateCMS definition: a flat rate for a package of items and services triggered by a diagnosis, treatment, or condition for a designated length of time.Fee scheduleCMS definition: the payer-specific negotiated charge is based on a fee schedule — for example, a Medicare, Medicaid, commercial payer, or workers’ compensation fee schedule.Per diemCMS definition: the per day charge for providing hospital items and services.Percent of billed chargesCMS definition: the payer-specific negotiated charge is based on a percentage of the total billed charges for an item or service, which may vary depending on certain pre-determined criteria being met.OtherCMS definition: used when the standard charge methodology can’t be described by case rate, fee schedule, per diem, or percent of total billed charges.

Reflects a negotiated percentage of total billed charges.

National pricing summary

Low

$548

Average

$1.8k

Median

$1.9k

High

$2.9k

Hospitals reporting this code

#HospitalLocationApproximate number of payer billing records behind this hospital’s price. CMS privacy rules cap small counts as a range (e.g. “1–10”) rather than an exact number — more samples means a more reliable price.
1Ukiah Adventist HospitalUkiah, CA$1.8k$1.7k$225—$55$2.0k
2Sonora Community HospitalSonora, CA$1.9k$1.9k$39—$253$2.0k
3Reedley Community HospitalReedley, CA$1.8k$1.8k——$18$1.8k
4Adventist Health Mendocino CoastBragg, CA$2.2k$2.2k——$30$2.2k
5Hanford Community HospitalHanford, CA$548$548——$51$3.7k
6Willits Hospital IncWillits, CA$1.9k$1.9k——$51$1.9k
7Children's National HospitalWashington, DC$3.0k$2.9k$1.0k—$498$8.8k

Look up this code directly

Ask Claude or any MCP client for HCPCS 15920 pricing at a specific hospital — see how to connect.

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