go back

Test Socket, Hemipelvectomy

Montana rates for HCPCS L5628

Addition to lower extremity, test socket, hemipelvectomy

Rates data updated July 2026.

How much does Test Socket, Hemipelvectomy cost?

$513

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $479 from a physician practice, and about $562 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 5 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$479$355 to $562
FacilityA hospital or hospital-owned outpatient department$562$479 to $603

How much rates vary

Facilitymedian $562 · 10th to 90th $447 to $813Professionalmedian $479 · 10th to 90th $186 to $1,096
$100.0$200.0$500.0$1.0K$2.0Kfacility $562professional $479

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
Professional
Modifier
Global
Typical Low
$186.21
Median
$478.63
Typical High
$2,511.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$602.56
Typical High
$602.56
Cigna
Setting
Professional
Modifier
Global
Typical Low
$436.52
Median
$602.56
Typical High
$602.56
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$562.34
Typical High
$1,096.48
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$562.34
Typical High
$1,096.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$575.44
Typical High
$870.96
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$501.19
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$436.52
Typical High
$457.09
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$288.40
Typical High
$446.68

Where Montana sits

The same service costs 2.7 times more in Minnesota than in Delaware. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $513 · 10th of 51
MN $776DE $288

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.