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Test Socket, Hemipelvectomy

Ohio rates for HCPCS L5628

Addition to lower extremity, test socket, hemipelvectomy

Rates data updated July 2026.

How much does Test Socket, Hemipelvectomy cost?

$407

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $407 for this service. The price depends on where it is billed: about $389 from a physician practice, and about $794 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$389$363 to $537
FacilityA hospital or hospital-owned outpatient department$794$513 to $871

How much rates vary

Facilitymedian $794 · 10th to 90th $380 to $1,349Professionalmedian $389 · 10th to 90th $316 to $813
$1.0$10.0$100.0$1.0Kfacility $794professional $389

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
$380.19
Median
$380.19
Typical High
$512.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$275.42
Median
$380.19
Typical High
$562.34
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$831.76
Typical High
$1,698.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$354.81
Median
$467.74
Typical High
$1,023.29
CareSource
Setting
Facility
Modifier
Global
Typical Low
$309.03
Median
$524.81
Typical High
$741.31
CareSource
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$549.54
Typical High
$831.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$549.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$537.03
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$501.19
Median
$501.19
Typical High
$524.81
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$436.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$467.74
Typical High
$676.08
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$891.25
Typical High
$1,621.81
United
Setting
Facility
Modifier
Global
Typical Low
$263.03
Median
$630.96
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$380.19
Typical High
$489.78

Where Ohio 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.

Ohio $407 · 20th 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.