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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

Michigan rates for HCPCS L5595

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

Rates data updated October 2026.

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

$3,981

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $3,981 for this service. The price depends on where it is billed: about $3,981 from a physician practice, and about $7,943 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,981$3,162 to $5,495
FacilityA hospital or hospital-owned outpatient department$7,943$3,548 to $15,849

How much rates vary

Facilitymedian $7,943 · 10th to 90th $3,548 to $23,988Professionalmedian $3,981 · 10th to 90th $2,630 to $5,623
$2K$5K$10K$20K$50Kfacility $7,943professional $3,981

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$3,162.28
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$2,754.23
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$630.96
Median
$630.96
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$467.74
Median
$467.74
Typical High
$831.76
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$316.23
Median
$316.23
Typical High
$549.54
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$16,218.10
Typical High
$30,902.95
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$5,248.07
Median
$5,495.41
Typical High
$5,495.41
CareSource
Setting
Facility
Modifier
None
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,311.31
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$3,548.13
Typical High
$6,025.60
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$3,162.28
Median
$10,715.19
Typical High
$11,748.98
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$3,162.28
Median
$4,365.16
Typical High
$5,623.41
Health Alliance Plan
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,584.89
Median
$1,584.89
Typical High
$1,584.89
Health Alliance Plan
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$630.96
Median
$630.96
Typical High
$630.96
Health Alliance Plan
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$478.63
Median
$478.63
Typical High
$478.63
Health Alliance Plan
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Priority Health
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Priority Health
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$3,548.13
Typical High
$5,370.32
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$4,365.16
Typical High
$6,606.93
United
Setting
Professional
Modifier
None
Typical Low
$1,995.26
Median
$2,630.27
Typical High
$3,715.35

Where Michigan sits

The same service costs 4.3 times more in Hawaii than in Pennsylvania. 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.

Michigan· 17th of 51

$3,981

HI $11,220PA $2,630

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.