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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 July 2026.

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

$3,090

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $3,090 for this service. The price depends on where it is billed: about $3,090 from a physician practice, and about $9,772 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 4 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$3,090$2,630 to $3,548
FacilityA hospital or hospital-owned outpatient department$9,772$3,715 to $12,303

How much rates vary

Facilitymedian $9,772 · 10th to 90th $3,467 to $13,804Professionalmedian $3,090 · 10th to 90th $2,570 to $3,802
$5K$10K$20Kfacility $9,772professional $3,090

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. 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
Global
Typical Low
$2,570.40
Median
$2,884.03
Typical High
$3,548.13
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$11,748.98
Typical High
$13,803.84
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$3,090.30
Typical High
$5,248.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$3,467.37
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$2,630.27
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,715.35
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$3,311.31
Typical High
$4,897.79

Where Rhode Island 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.

Rhode Island· 24th of 51

$3,090

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.