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Ostomy Pouch, Closed, with Barrier Attached (One Piece)

Pennsylvania rates for HCPCS A5051

Ostomy pouch, closed; with barrier attached (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Closed, with Barrier Attached (One Piece) cost?

$1.78

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1.78 for this service. The price depends on where it is billed: about $1.78 from a physician practice, and about $2.24 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$1.78$1.45 to $1.95
FacilityA hospital or hospital-owned outpatient department$2.24$1.41 to $9.12

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $15Professionalmedian $2 · 10th to 90th $1 to $3
$1$10$100$1K$10Kfacility $2professional $2

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
$1.41
Median
$1.41
Typical High
$2.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.78
Typical High
$2.29
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
$2.88
Median
$2.88
Typical High
$2.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$3.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$1.48
Typical High
$1.74
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$3.24
Typical High
$5.62
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$1.78
Typical High
$2.95
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$1.41
Typical High
$2.24
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$1.78
Typical High
$2.29
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.51
Typical High
$1.51
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$5.13
Median
$9.77
Typical High
$16.60
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.75
Typical High
$2.75
United
Setting
Facility
Modifier
Global
Typical Low
$0.98
Median
$1.32
Typical High
$1.82
United
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.45
Typical High
$3.02

Where Pennsylvania sits

The same service costs 2.2 times more in Kansas than in Colorado. 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.

Pennsylvania· 40th of 51

$1.78

KS $3.16CO $1.41

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.