go back

Hemipelvectomy, Canadian Type, Molded Socket

Michigan rates for HCPCS L5280

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

Rates data updated July 2026.

How much does Hemipelvectomy, Canadian Type, Molded Socket cost?

$4,169

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $4,169 for this service. The price depends on where it is billed: about $4,169 from a physician practice, and about $8,318 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 7 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$4,169$3,467 to $7,244
FacilityA hospital or hospital-owned outpatient department$8,318$4,169 to $19,498

How much rates vary

Facilitymedian $8,318 · 10th to 90th $4,169 to $29,512Professionalmedian $4,169 · 10th to 90th $3,020 to $7,244
$100$1K$10Kfacility $8,318professional $4,169

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,168.69
Typical High
$4,168.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,019.95
Median
$3,630.78
Typical High
$4,168.69
BCBS
Setting
Facility
Modifier
Global
Typical Low
$9,549.93
Median
$21,877.62
Typical High
$41,686.94
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6,918.31
Median
$7,244.36
Typical High
$7,762.47
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$3,981.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$4,677.35
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$4,677.35
Typical High
$7,585.78
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$13,803.84
Typical High
$15,488.17
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$5,888.44
Typical High
$8,912.51
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$6,025.60
Typical High
$7,585.78
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$6,025.60
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$2,511.89
Median
$3,467.37
Typical High
$5,011.87

Where Michigan sits

The same service costs 4.7 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.

Michigan· 21st of 51

$4,169

HI $12,882DE $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.