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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

Maine 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?

$3,715

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $3,715 for this service. The price depends on where it is billed: about $3,548 from a physician practice, and about $6,166 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 6 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$3,548$2,884 to $5,248
FacilityA hospital or hospital-owned outpatient department$6,166$4,169 to $7,079

How much rates vary

Facilitymedian $6,166 · 10th to 90th $3,548 to $7,586Professionalmedian $3,548 · 10th to 90th $2,399 to $5,248
$2K$5K$10Kfacility $6,166professional $3,548

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$2,884.03
Typical High
$3,981.07
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$7,079.46
Typical High
$8,128.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$6,025.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$4,365.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,548.13
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$5,248.07
Median
$5,248.07
Typical High
$6,165.95
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,290.87
Median
$3,311.31
Typical High
$3,981.07
United
Setting
Facility
Modifier
Global
Typical Low
$1,548.82
Median
$3,235.94
Typical High
$4,365.16
United
Setting
Professional
Modifier
Global
Typical Low
$2,344.23
Median
$5,128.61
Typical High
$5,248.07

Where Maine 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.

Maine· 16th of 51

$3,715

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.