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

Ohio 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 Ohio, July 2026.

Insurers have agreed to pay about $1.32 for this service. The price depends on where it is billed: about $1.29 from a physician practice, and about $1.55 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$1.29$1.05 to $1.58
FacilityA hospital or hospital-owned outpatient department$1.55$1.32 to $2.14

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $2Professionalmedian $1 · 10th to 90th $1 to $2
$1$2$5$10facility $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
$1.32
Median
$1.74
Typical High
$2.19
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.89
Median
$1.32
Typical High
$1.78
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.26
Typical High
$2.75
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1.05
Median
$1.78
Typical High
$2.51
CareSource
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.86
Typical High
$2.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$2.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$1.26
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.38
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$1.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.48
Typical High
$2.24
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.34
Typical High
$4.37
United
Setting
Facility
Modifier
Global
Typical Low
$0.68
Median
$0.93
Typical High
$2.14
United
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$1.00
Typical High
$1.48

Where Ohio 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.

Ohio· 33rd 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.