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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

Missouri 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?

$2,951

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $2,951 for this service. The price depends on where it is billed: about $2,951 from a physician practice, and about $3,981 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$2,951$2,570 to $3,631
FacilityA hospital or hospital-owned outpatient department$3,981$3,236 to $4,898

How much rates vary

Facilitymedian $3,981 · 10th to 90th $2,291 to $9,120Professionalmedian $2,951 · 10th to 90th $2,188 to $5,754
$2K$5K$10K$20Kfacility $3,981professional $2,951

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
$2,187.76
Median
$3,235.94
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,137.96
Median
$3,235.94
Typical High
$28,183.83
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,897.79
Median
$4,897.79
Typical High
$17,378.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$2,951.21
Typical High
$4,570.88
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$4,897.79
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$5,011.87
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,548.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$3,890.45
Typical High
$14,125.38
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$2,570.40
Typical High
$44,668.36
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,981.07
Typical High
$4,897.79
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,398.83
Typical High
$3,801.89

Where Missouri 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.

Missouri· 27th of 51

$2,951

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.