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Test Socket, Hemipelvectomy

Pennsylvania rates for HCPCS L5628

Addition to lower extremity, test socket, hemipelvectomy

Rates data updated July 2026.

How much does Test Socket, Hemipelvectomy cost?

$324

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $324 for this service. The price depends on where it is billed: about $316 from a physician practice, and about $1,000 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$316$288 to $398
FacilityA hospital or hospital-owned outpatient department$1,000$309 to $1,549

How much rates vary

Facilitymedian $1,000 · 10th to 90th $288 to $2,291Professionalmedian $316 · 10th to 90th $263 to $537
$1.0$10.0$100.0$1.0K$10.0Kfacility $1,000professional $316

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
$288.40
Median
$288.40
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$234.42
Median
$316.23
Typical High
$467.74
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$363.08
Median
$524.81
Typical High
$660.69
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
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$1,148.15
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$398.11
Median
$426.58
Typical High
$660.69
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$288.40
Typical High
$1,122.02
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$269.15
Median
$316.23
Typical High
$524.81
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$316.23
Median
$316.23
Typical High
$316.23
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$549.54
Median
$549.54
Typical High
$549.54
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$776.25
Median
$1,584.89
Typical High
$2,511.89
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$575.44
Typical High
$741.31
United
Setting
Facility
Modifier
Global
Typical Low
$229.09
Median
$794.33
Typical High
$794.33
United
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$363.08
Typical High
$616.60

Where Pennsylvania 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.

Pennsylvania $324 · 45th 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.