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Ostomy Pouch, Closed, for Use on Faceplate

New York 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?

$1.41

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1.41 for this service. The price depends on where it is billed: about $1.38 from a physician practice, and about $1.74 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 9 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$1.38$1.15 to $2.19
FacilityA hospital or hospital-owned outpatient department$1.74$1.48 to $2.19

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $3Professionalmedian $1 · 10th to 90th $1 to $3
$1$10$100$1K$10Kfacility $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
$1.00
Median
$1.48
Typical High
$2.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.98
Median
$1.38
Typical High
$2.19
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$1.15
Typical High
$3.72
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1.78
Median
$1.91
Typical High
$1.91
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$1.91
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.38
Median
$1.38
Typical High
$3.16
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.15
Typical High
$1.15
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$3.89
Typical High
$8.91
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$2.45
Typical High
$4.47
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$1.82
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$1.66
Typical High
$1.74
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$2.24
Typical High
$2.69
United
Setting
Facility
Modifier
Global
Typical Low
$0.85
Median
$1.02
Typical High
$6.61
United
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.51
Typical High
$3.98
Univera
Setting
Facility
Modifier
Global
Typical Low
$1.66
Median
$1.74
Typical High
$1.86
Univera
Setting
Professional
Modifier
Global
Typical Low
$1.66
Median
$1.66
Typical High
$1.74

Where New York 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.

New York· 35th of 51

$1.41

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.