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Preparatory Hip/Hemipelvectomy, Thermoplastic Socket

Virginia 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 Virginia, July 2026.

Insurers have agreed to pay about $2,951 for this service. The price depends on where it is billed: about $2,754 from a physician practice, and about $5,129 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 8 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$2,754$2,692 to $3,548
FacilityA hospital or hospital-owned outpatient department$5,129$3,467 to $5,129

How much rates vary

Facilitymedian $5,129 · 10th to 90th $2,692 to $6,457Professionalmedian $2,754 · 10th to 90th $2,344 to $4,898
$2K$5K$10Kfacility $5,129professional $2,754

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
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,187.76
Median
$2,691.53
Typical High
$2,884.03
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,128.61
Median
$5,128.61
Typical High
$5,495.41
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2,951.21
Median
$2,951.21
Typical High
$6,165.95
CareFirst
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,548.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2,344.23
Median
$3,548.13
Typical High
$3,548.13
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,630.27
Median
$2,630.27
Typical High
$3,162.28
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3,890.45
Median
$5,128.61
Typical High
$7,244.36
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$3,388.44
Typical High
$5,128.61
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2,187.76
Median
$3,630.78
Typical High
$6,456.54
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$3,162.28
Typical High
$3,388.44
Sentara
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$4,168.69
Typical High
$10,000.00
Sentara
Setting
Professional
Modifier
Global
Typical Low
$2,754.23
Median
$4,168.69
Typical High
$10,000.00
United
Setting
Facility
Modifier
Global
Typical Low
$1,862.09
Median
$3,630.78
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$2,398.83
Median
$2,511.89
Typical High
$3,981.07

Where Virginia 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.

Virginia· 26th 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.