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Polycentric Hip Joint, Pneumatic or Hydraulic Control

Ohio rates for HCPCS L5961

Addition, endoskeletal system, polycentric hip joint, pneumatic or hydraulic control, rotation control, with or without flexion and/or extension control

Rates data updated July 2026.

How much does Polycentric Hip Joint, Pneumatic or Hydraulic Control cost?

$2,754

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $2,754 for this service. The price depends on where it is billed: about $2,692 from a physician practice, and about $6,026 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$2,692$955 to $3,467
FacilityA hospital or hospital-owned outpatient department$6,026$4,786 to $6,761

How much rates vary

Facilitymedian $6,026 · 10th to 90th $2,818 to $10,000Professionalmedian $2,692 · 10th to 90th $692 to $5,888
$1K$2K$5K$10Kfacility $6,026professional $2,692

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
$2,818.38
Median
$2,818.38
Typical High
$4,897.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2,454.71
Median
$2,818.38
Typical High
$4,786.30
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$6,165.95
Typical High
$12,589.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$977.24
Typical High
$7,244.36
CareSource
Setting
Facility
Modifier
Global
Typical Low
$2,754.23
Median
$4,677.35
Typical High
$6,606.93
CareSource
Setting
Professional
Modifier
Global
Typical Low
$3,548.13
Median
$5,011.87
Typical High
$7,413.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$3,981.07
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$3,715.35
Median
$3,715.35
Typical High
$3,890.45
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$2,691.53
Median
$2,691.53
Typical High
$2,691.53
Molina
Setting
Professional
Modifier
Global
Typical Low
$3,162.28
Median
$4,365.16
Typical High
$6,309.57
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$6,606.93
Typical High
$12,022.64
United
Setting
Facility
Modifier
Global
Typical Low
$3,388.44
Median
$4,677.35
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$1,905.46
Median
$2,884.03
Typical High
$4,168.69

Where Ohio sits

The same service costs 2.5 times more in South Dakota than in Delaware. 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.

Ohio· 44th of 51

$2,754

SD $6,026DE $2,455

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.