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Ostomy Pouch, Closed, for Use on Faceplate

Pennsylvania 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?

$1.38

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $1.38 for this service. The price depends on where it is billed: about $1.38 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 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$1.38$1.17 to $1.62
FacilityA hospital or hospital-owned outpatient department$1.86$1.17 to $7.59

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $13Professionalmedian $1 · 10th to 90th $1 to $2
$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
$1.17
Median
$1.17
Typical High
$1.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.98
Median
$1.48
Typical High
$1.86
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$2.40
Typical High
$2.40
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
Professional
Modifier
Global
Typical Low
$2.14
Median
$3.24
Typical High
$4.47
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$2.45
Typical High
$2.45
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.48
Typical High
$2.45
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$1.17
Median
$1.17
Typical High
$1.86
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$1.17
Median
$1.48
Typical High
$1.86
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$8.71
Typical High
$14.13
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.29
Typical High
$2.29
United
Setting
Facility
Modifier
Global
Typical Low
$0.81
Median
$1.10
Typical High
$1.55
United
Setting
Professional
Modifier
Global
Typical Low
$0.85
Median
$1.20
Typical High
$2.45

Where Pennsylvania 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.

Pennsylvania· 36th of 51

$1.38

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.