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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

South Dakota 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?

$4,677

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $4,677 for this service. The price depends on where it is billed: about $4,677 from a physician practice, and about $4,786 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 7 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$4,677$4,571 to $6,457
FacilityA hospital or hospital-owned outpatient department$4,786$3,890 to $6,166

How much rates vary

Facilitymedian $4,786 · 10th to 90th $3,548 to $9,333Professionalmedian $4,677 · 10th to 90th $3,715 to $7,943
$2K$5K$10K$20K$50Kfacility $4,786professional $4,677

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
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3,801.89
Median
$4,677.35
Typical High
$4,677.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$5,370.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6,456.54
Median
$6,456.54
Typical High
$7,943.28
Medica
Setting
Facility
Modifier
Global
Typical Low
$3,890.45
Median
$4,897.79
Typical High
$12,882.50
Medica
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,715.35
Typical High
$44,668.36
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$5,248.07
Typical High
$5,370.32
Midlands
Setting
Facility
Modifier
Global
Typical Low
$5,370.32
Median
$5,370.32
Typical High
$5,370.32
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4,466.84
Median
$4,466.84
Typical High
$8,709.64
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$4,073.80
Median
$4,786.30
Typical High
$6,456.54
United
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,630.78
Typical High
$3,981.07
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$3,715.35
Typical High
$6,456.54
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$4,786.30
Median
$4,786.30
Typical High
$4,786.30

Where South Dakota 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.

South Dakota· 8th of 51

$4,677

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.