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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

Montana 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?

$5,129

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $5,129 for this service. The price depends on where it is billed: about $4,898 from a physician practice, and about $5,129 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4,898$2,399 to $5,129
FacilityA hospital or hospital-owned outpatient department$5,129$4,898 to $281,838

How much rates vary

Facilitymedian $5,129 · 10th to 90th $3,715 to $288,403Professionalmedian $4,898 · 10th to 90th $79 to $5,370
$100$1K$10K$100Kfacility $5,129professional $4,898

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
Professional
Modifier
None
Typical Low
$1,548.82
Median
$4,265.80
Typical High
$5,370.32
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,801.89
Median
$5,128.61
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
None
Typical Low
$4,168.69
Median
$5,128.61
Typical High
$5,128.61
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$3,715.35
Median
$6,165.95
Typical High
$288,403.15
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$4,897.79
Median
$5,370.32
Typical High
$301,995.17
Providence
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$5,128.61
Typical High
$5,128.61
Providence
Setting
Professional
Modifier
None
Typical Low
$79.43
Median
$3,801.89
Typical High
$5,128.61
United
Setting
Professional
Modifier
None
Typical Low
$2,290.87
Median
$2,398.83
Typical High
$3,981.07

Where Montana 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.

Montana· 5th of 51

$5,129

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.