go back

Ostomy Pouch, Closed, without Barrier Attached (One Piece)

Illinois rates for HCPCS A5052

Ostomy pouch, closed; without barrier attached (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Closed, without Barrier Attached (One Piece) cost?

$1.32

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $1.32 for this service. The price depends on where it is billed: about $1.32 from a physician practice, and about $2.14 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 5 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$1.32$1.17 to $2.09
FacilityA hospital or hospital-owned outpatient department$2.14$1.17 to $5.37

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $11Professionalmedian $1 · 10th to 90th $1 to $3
$1$2$5$10$20facility $2professional $1

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
$1.17
Median
$1.17
Typical High
$2.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.98
Median
$1.29
Typical High
$2.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$5.50
Typical High
$18.20
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.58
Typical High
$1.58
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$2.34
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$2.29
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$6.61
Typical High
$8.51
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$2.69
Typical High
$2.69
United
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$2.14
Typical High
$2.14
United
Setting
Professional
Modifier
Global
Typical Low
$0.74
Median
$1.05
Typical High
$1.82

Where Illinois sits

The same service costs 2.3 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.

Illinois· 32nd of 51

$1.32

KS $2.29CO $1.00

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.