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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 July 2026.

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

$4,677

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $4,677 for this service. The price depends on where it is billed: about $4,266 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 5 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$4,266$2,951 to $5,129
FacilityA hospital or hospital-owned outpatient department$4,677$3,981 to $5,129

How much rates vary

Facilitymedian $4,677 · 10th to 90th $3,548 to $6,607Professionalmedian $4,266 · 10th to 90th $1,549 to $9,120
$100$500$2K$10Kfacility $4,677professional $4,266

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
Professional
Modifier
Global
Typical Low
$1,548.82
Median
$4,265.80
Typical High
$28,183.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$5,128.61
Typical High
$5,128.61
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,128.61
Typical High
$5,128.61
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$4,677.35
Typical High
$9,120.11
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3,715.35
Median
$4,677.35
Typical High
$9,120.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,466.84
Typical High
$6,918.31
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$3,801.89
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,630.78
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,398.83
Typical High
$3,715.35

Where Montana 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.

Montana· 6th of 51

$4,677

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.