go back

Ostomy Pouch, Closed, for Use on Faceplate

Hawaii rates for HCPCS A5053

Ostomy pouch, closed; for use on faceplate, each

Rates data updated July 2026.

How much does Ostomy Pouch, Closed, for Use on Faceplate cost?

$3.09

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $3.09 for this service. Most negotiated rates run $1.35 to $3.09.

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.

How much rates vary

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

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.20
Median
$1.20
Typical High
$1.35
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$2.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.66
Typical High
$3.80
HMSA
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$3.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$3.09
Typical High
$4.27
United
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$0.81
Typical High
$0.93
United
Setting
Professional
Modifier
Global
Typical Low
$1.10
Median
$1.70
Typical High
$3.72

Where Hawaii sits

The same service costs 2.9 times more in Hawaii 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.

Hawaii· 1st of 51

$3.09

HI $3.09CO $1.07

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.