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

South Dakota 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?

$2.75

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $2.75 for this service. The price depends on where it is billed: about $2.63 from a physician practice, and about $3.09 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 7 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$2.63$1.95 to $3.39
FacilityA hospital or hospital-owned outpatient department$3.09$2.09 to $3.31

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $4Professionalmedian $3 · 10th to 90th $2 to $4
$1$2$5$10$20$50facility $3professional $3

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.09
Median
$2.09
Typical High
$2.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.95
Typical High
$3.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$3.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$4.27
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$3.16
Typical High
$5.37
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.82
Typical High
$14.45
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$3.16
Typical High
$3.16
Midlands
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$3.24
Midlands
Setting
Professional
Modifier
Global
Typical Low
$2.63
Median
$2.63
Typical High
$5.13
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$2.88
Typical High
$3.80
United
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.35
Typical High
$2.04
United
Setting
Professional
Modifier
Global
Typical Low
$0.95
Median
$1.91
Typical High
$3.39
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$2.34

Where South Dakota 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.

South Dakota· 5th of 51

$2.75

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.