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Test Socket, Hemipelvectomy

New York rates for HCPCS L5628

Addition to lower extremity, test socket, hemipelvectomy

Rates data updated July 2026.

How much does Test Socket, Hemipelvectomy cost?

$363

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $363 for this service. The price depends on where it is billed: about $355 from a physician practice, and about $380 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 9 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$355$316 to $501
FacilityA hospital or hospital-owned outpatient department$380$363 to $617

How much rates vary

Facilitymedian $380 · 10th to 90th $263 to $912Professionalmedian $355 · 10th to 90th $263 to $891
$1.0$10.0$100.0$1.0K$10.0Kfacility $380professional $355

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
$218.78
Median
$316.23
Typical High
$676.08
Aetna
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$316.23
Typical High
$467.74
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$616.60
Typical High
$1,230.27
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$354.81
Typical High
$1,023.29
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$467.74
Median
$501.19
Typical High
$501.19
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$501.19
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$616.60
Median
$1,000.00
Typical High
$2,344.23
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$380.19
Median
$645.65
Typical High
$1,148.15
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$380.19
Median
$380.19
Typical High
$398.11
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$380.19
Typical High
$380.19
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$588.84
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$436.52
Typical High
$1,023.29
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$398.11
Typical High
$977.24
Univera
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$371.54
Typical High
$398.11
Univera
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$380.19
Typical High
$380.19

Where New York 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.

New York $363 · 32nd 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.