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Hemipelvectomy, Canadian Type, Molded Socket

Montana 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?

$6,761

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $6,761 for this service. The price depends on where it is billed: about $6,166 from a physician practice, and about $7,943 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 5 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$6,166$3,890 to $7,943
FacilityA hospital or hospital-owned outpatient department$7,943$6,166 to $8,511

How much rates vary

Facilitymedian $7,943 · 10th to 90th $5,012 to $10,000Professionalmedian $6,166 · 10th to 90th $1,950 to $15,488
$100$500$2K$10Kfacility $7,943professional $6,166

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
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$5,128.61
Typical High
$35,481.34
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$8,511.38
Typical High
$8,511.38
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4,677.35
Median
$8,511.38
Typical High
$8,511.38
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$7,943.28
Typical High
$15,488.17
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$6,025.60
Median
$7,943.28
Typical High
$15,488.17
Providence
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$7,413.10
Typical High
$9,772.37
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$6,456.54
Typical High
$8,511.38
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,570.88
Typical High
$4,786.30
United
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,019.95
Typical High
$4,677.35

Where Montana 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.

Montana· 7th of 51

$6,761

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.