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

Tennessee 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?

$1.29

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $1.29 for this service. The price depends on where it is billed: about $1.29 from a physician practice, and about $1.86 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$1.29$1.07 to $1.58
FacilityA hospital or hospital-owned outpatient department$1.86$1.20 to $79.43

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $85Professionalmedian $1 · 10th to 90th $1 to $2
$1$2$5$10$20$50facility $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
$1.07
Median
$1.20
Typical High
$1.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.91
Median
$1.32
Typical High
$1.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.58
Typical High
$1.66
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.45
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$1.26
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$15.49
Typical High
$15.49
United
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$0.93
Typical High
$2.14
United
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$0.98
Typical High
$1.23

Where Tennessee 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.

Tennessee· 35th of 51

$1.29

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.