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

New Hampshire 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?

$1.26

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $1.26 for this service. The price depends on where it is billed: about $1.29 from a physician practice, and about $1.10 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 6 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$1.29$1.05 to $1.82
FacilityA hospital or hospital-owned outpatient department$1.10$1.10 to $1.32

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $1Professionalmedian $1 · 10th to 90th $1 to $2
$1$2$5facility $1professional $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
$1.10
Median
$1.10
Typical High
$1.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.89
Median
$1.10
Typical High
$1.32
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.05
Typical High
$1.10
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$1.38
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$3.39
United
Setting
Facility
Modifier
Global
Typical Low
$0.54
Median
$0.79
Typical High
$0.85
United
Setting
Professional
Modifier
Global
Typical Low
$0.72
Median
$1.20
Typical High
$1.82
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$2.75
Median
$2.75
Typical High
$4.79

Where New Hampshire 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.

New Hampshire· 39th of 51

$1.26

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.