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Hip Disarticulation, Canadian Type, Molded Socket

Rhode Island rates for HCPCS L5250

Hip disarticulation, Canadian type; molded socket, hip joint, single axis constant friction knee, shin, SACH foot

Rates data updated July 2026.

How much does Hip Disarticulation, Canadian Type, Molded Socket cost?

$3,548

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $3,548 for this service. The price depends on where it is billed: about $3,548 from a physician practice, and about $11,220 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 4 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$3,548$3,020 to $3,981
FacilityA hospital or hospital-owned outpatient department$11,220$4,786 to $13,804

How much rates vary

Facilitymedian $11,220 · 10th to 90th $3,890 to $15,488Professionalmedian $3,548 · 10th to 90th $2,951 to $4,677
$5K$10K$20Kfacility $11,220professional $3,548

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$3,235.94
Typical High
$3,981.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,772.37
Median
$13,182.57
Typical High
$15,488.17
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,548.13
Typical High
$5,888.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$3,890.45
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$3,162.28
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,786.30
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,981.07
Typical High
$5,623.41

Where Rhode Island sits

The same service costs 4.1 times more in Hawaii than in Delaware. 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.

Rhode Island· 36th of 51

$3,548

HI $11,220DE $2,754

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.