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Hemipelvectomy, Canadian Type, Molded Socket

Ohio 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?

$3,890

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $3,890 for this service. The price depends on where it is billed: about $3,631 from a physician practice, and about $7,586 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 8 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$3,631$3,548 to $5,129
FacilityA hospital or hospital-owned outpatient department$7,586$6,026 to $8,318

How much rates vary

Facilitymedian $7,586 · 10th to 90th $3,548 to $12,589Professionalmedian $3,631 · 10th to 90th $3,020 to $7,943
$2K$5K$10K$20Kfacility $7,586professional $3,631

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
$3,548.13
Median
$3,548.13
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,548.13
Typical High
$6,165.95
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$7,413.10
Median
$7,943.28
Typical High
$15,848.93
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,630.78
Median
$4,466.84
Typical High
$9,772.37
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$5,248.07
Typical High
$7,413.10
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3,981.07
Median
$5,495.41
Typical High
$8,317.64
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$5,248.07
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$5,011.87
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$5,011.87
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,073.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,466.84
Typical High
$6,456.54
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$7,413.10
Median
$8,317.64
Typical High
$15,488.17
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$6,025.60
Typical High
$7,413.10
United
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$3,630.78
Typical High
$4,786.30

Where Ohio 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.

Ohio· 27th of 51

$3,890

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.