go back

Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

New York 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 New York, 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 $3,388 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 9 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$2,692 to $4,266
FacilityA hospital or hospital-owned outpatient department$3,388$3,236 to $5,495

How much rates vary

Facilitymedian $3,388 · 10th to 90th $2,344 to $8,128Professionalmedian $2,951 · 10th to 90th $2,188 to $7,943
$2K$5K$10K$20K$50Kfacility $3,388professional $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
$1,949.84
Median
$2,511.89
Typical High
$6,025.60
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1,949.84
Median
$2,511.89
Typical High
$3,715.35
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$5,495.41
Typical High
$10,964.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$9,120.11
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$4,168.69
Median
$4,466.84
Typical High
$4,466.84
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$4,466.84
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$7,585.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,715.35
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$5,495.41
Median
$8,912.51
Typical High
$20,892.96
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3,388.44
Median
$5,754.40
Typical High
$10,232.93
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,311.31
Median
$3,311.31
Typical High
$3,467.37
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,311.31
Typical High
$3,388.44
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$7,244.36
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$5,248.07
Typical High
$6,165.95
United
Setting
Facility
Modifier
Global
Typical Low
$2,041.74
Median
$3,715.35
Typical High
$8,511.38
United
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$3,548.13
Typical High
$8,511.38
Univera
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,311.31
Typical High
$3,467.37
Univera
Setting
Professional
Modifier
Global
Typical Low
$3,235.94
Median
$3,311.31
Typical High
$3,388.44

Where New York 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.

New York· 28th 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.