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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

New Jersey 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?

$2,692

Typical negotiated rate. In New Jersey, October 2026.

Insurers have agreed to pay about $2,692 for this service. The price depends on where it is billed: about $2,692 from a physician practice, and about $3,548 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$2,692$2,291 to $5,495
FacilityA hospital or hospital-owned outpatient department$3,548$3,236 to $4,365

How much rates vary

Facilitymedian $3,548 · 10th to 90th $3,236 to $5,495Professionalmedian $2,692 · 10th to 90th $1,950 to $5,495
$2K$5Kfacility $3,548professional $2,692

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,089.30
Aetna
Setting
Professional
Modifier
None
Typical Low
$1,949.84
Median
$1,949.84
Typical High
$2,344.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$977.24
Median
$977.24
Typical High
$1,148.15
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$389.05
Median
$389.05
Typical High
$467.74
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$295.12
Median
$295.12
Typical High
$346.74
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$194.98
Median
$194.98
Typical High
$234.42
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$5,495.41
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,548.13
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$3,548.13
Median
$7,079.46
Typical High
$7,079.46
Horizon BCBS
Setting
Professional
Modifier
None
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$5,495.41
United
Setting
Facility
Modifier
None
Typical Low
$3,235.94
Median
$4,365.16
Typical High
$5,623.41
United
Setting
Professional
Modifier
None
Typical Low
$2,398.83
Median
$2,951.21
Typical High
$5,370.32

Where New Jersey 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.

New Jersey· 44th of 51

$2,692

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.