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

Utah 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?

$1.35

Typical negotiated rate. In Utah, July 2026.

Insurers have agreed to pay about $1.35 for this service. The price depends on where it is billed: about $1.35 from a physician practice, and about $0.56 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$1.35$0.85 to $1.91
FacilityA hospital or hospital-owned outpatient department$0.56$0.56 to $0.71

How much rates vary

Facilitymedian $1 · 10th to 90th $1 to $1Professionalmedian $1 · 10th to 90th $1 to $3
$1$2facility $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
$0.56
Median
$0.56
Typical High
$0.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.56
Median
$1.35
Typical High
$2.82
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.07
Typical High
$1.48
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.70
Typical High
$2.40
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.48
Typical High
$2.34
Select Health
Setting
Facility
Modifier
Global
Typical Low
$2.14
Median
$2.14
Typical High
$2.14
Select Health
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$2.14
Typical High
$2.14
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$2.14
Typical High
$2.51
United
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$0.81
Typical High
$0.87
United
Setting
Professional
Modifier
Global
Typical Low
$0.69
Median
$0.87
Typical High
$1.58

Where Utah 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.

Utah· 31st of 51

$1.35

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.