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Hemipelvectomy, Canadian Type, Molded Socket

Pennsylvania 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?

$3,236

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $3,236 for this service. The price depends on where it is billed: about $3,236 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 9 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$3,236$2,754 to $4,365
FacilityA hospital or hospital-owned outpatient department$8,318$2,754 to $10,471

How much rates vary

Facilitymedian $8,318 · 10th to 90th $2,754 to $17,783Professionalmedian $3,236 · 10th to 90th $2,512 to $5,623
$2K$5K$10K$20K$50Kfacility $8,318professional $3,236

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
$2,754.23
Median
$2,754.23
Typical High
$10,471.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,019.95
Typical High
$5,370.32
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$5,011.87
Typical High
$6,165.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$4,677.35
Typical High
$10,232.93
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$4,677.35
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5,754.40
Median
$8,128.31
Typical High
$11,748.98
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$6,165.95
Median
$6,165.95
Typical High
$6,165.95
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,365.16
Typical High
$6,165.95
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$2,754.23
Typical High
$10,471.29
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,019.95
Typical High
$5,370.32
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,235.94
Typical High
$3,235.94
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$5,754.40
Median
$13,803.84
Typical High
$23,988.33
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$5,754.40
Typical High
$6,918.31
United
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$8,317.64
Typical High
$8,317.64
United
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,548.13
Typical High
$6,165.95

Where Pennsylvania 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.

Pennsylvania· 47th of 51

$3,236

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.