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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

Iowa rates for HCPCS L5595

Preparatory, hip disarticulation/hemipelvectomy, pylon, no cover, SACH foot, thermoplastic or equal, molded to patient model

Rates data updated July 2026.

How much does Preparatory Hip/Hemipelvectomy, Thermoplastic Socket cost?

$3,802

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $3,802 for this service. The price depends on where it is billed: about $3,802 from a physician practice, and about $4,677 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$3,802$2,630 to $4,677
FacilityA hospital or hospital-owned outpatient department$4,677$3,548 to $7,762

How much rates vary

Facilitymedian $4,677 · 10th to 90th $3,236 to $13,490Professionalmedian $3,802 · 10th to 90th $2,188 to $7,943
$2K$5K$10K$20Kfacility $4,677professional $3,802

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
$2,818.38
Median
$3,801.89
Typical High
$4,677.35
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,090.30
Typical High
$4,677.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$6,456.54
Typical High
$7,943.28
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4,570.88
Median
$8,511.38
Typical High
$10,000.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$6,309.57
Typical High
$25,703.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,467.37
Typical High
$8,128.31
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,623.41
Typical High
$7,585.78
Midlands
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5,495.41
Median
$8,128.31
Typical High
$8,128.31
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$4,365.16
Typical High
$10,471.29
United
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,754.23
Typical High
$5,495.41
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,786.30
Typical High
$4,786.30

Where Iowa sits

The same service costs 5.2 times more in Hawaii than in Nebraska. 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.

Iowa· 14th of 51

$3,802

HI $11,220NE $2,138

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.