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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

Pennsylvania 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?

$2,630

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $2,630 for this service. The price depends on where it is billed: about $2,570 from a physician practice, and about $7,943 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$2,570$2,291 to $3,388
FacilityA hospital or hospital-owned outpatient department$7,943$2,399 to $11,482

How much rates vary

Facilitymedian $7,943 · 10th to 90th $2,291 to $18,197Professionalmedian $2,570 · 10th to 90th $2,089 to $5,129
$2K$5K$10K$20K$50Kfacility $7,943professional $2,570

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
$2,290.87
Median
$2,290.87
Typical High
$8,709.64
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,089.30
Median
$2,511.89
Typical High
$3,981.07
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
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
$3,548.13
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$7,079.46
Typical High
$10,232.93
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,128.61
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$3,090.30
Median
$3,630.78
Typical High
$5,128.61
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$8,709.64
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,511.89
Typical High
$4,168.69
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$2,818.38
Typical High
$2,818.38
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$6,025.60
Median
$12,302.69
Typical High
$19,498.45
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,398.83
Typical High
$5,128.61
United
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$6,606.93
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,951.21
Typical High
$5,495.41

Where Pennsylvania 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.

Pennsylvania· 46th of 51

$2,630

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.