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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

Rhode Island 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?

$3,162

Typical negotiated rate. In Rhode Island, October 2026.

Insurers have agreed to pay about $3,162 for this service. The price depends on where it is billed: about $3,090 from a physician practice, and about $10,965 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 4 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3,090$2,951 to $3,548
FacilityA hospital or hospital-owned outpatient department$10,965$8,710 to $12,589

How much rates vary

Facilitymedian $10,965 · 10th to 90th $6,607 to $13,804Professionalmedian $3,090 · 10th to 90th $2,344 to $4,898
$2K$5K$10Kfacility $10,965professional $3,090

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
Professional
Modifier
None
Typical Low
$3,162.28
Median
$3,548.13
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1,584.89
Median
$1,778.28
Typical High
$1,778.28
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$630.96
Median
$707.95
Typical High
$707.95
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$467.74
Median
$524.81
Typical High
$524.81
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$316.23
Median
$354.81
Typical High
$354.81
BCBS Rhode Island
Setting
Facility
Modifier
None
Typical Low
$8,709.64
Median
$11,748.98
Typical High
$13,803.84
BCBS Rhode Island
Setting
Professional
Modifier
None
Typical Low
$2,187.76
Median
$3,090.30
Typical High
$5,128.61
Cigna
Setting
Facility
Modifier
None
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
None
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,548.13
United
Setting
Facility
Modifier
None
Typical Low
$6,606.93
Median
$6,606.93
Typical High
$6,606.93
United
Setting
Professional
Modifier
None
Typical Low
$2,344.23
Median
$3,311.31
Typical High
$4,897.79

Where Rhode Island 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.

Rhode Island· 29th of 51

$3,162

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.