go back

Ostomy Pouch, Closed, Barrier with Flange

Montana rates for HCPCS A5054

Ostomy pouch, closed; for use on barrier with flange (two piece), each

Rates data updated October 2026.

How much does Ostomy Pouch, Closed, Barrier with Flange cost?

$2.63

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $2.63 for this service. The price depends on where it is billed: about $2.63 from a physician practice, and about $2.82 from a hospital or other facility.

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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.63$2.00 to $2.63
FacilityA hospital or hospital-owned outpatient department$2.82$2.57 to $145

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $148Professionalmedian $3 · 10th to 90th $1 to $79
$1$2$5$10$20$50$100facility $3professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.68
Median
$2.14
Typical High
$3.39
BCBS Montana
Setting
Professional
Modifier
None
Typical Low
$2.45
Median
$2.45
Typical High
$2.45
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.34
Median
$2.63
Typical High
$2.63
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.14
Median
$2.63
Typical High
$2.63
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$1.95
Median
$3.24
Typical High
$151.36
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$2.57
Median
$2.82
Typical High
$154.88
Providence
Setting
Facility
Modifier
None
Typical Low
$1.51
Median
$2.63
Typical High
$2.63
Providence
Setting
Professional
Modifier
None
Typical Low
$2.00
Median
$2.63
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$1.00
Median
$1.07
Typical High
$1.78

Where Montana sits

The same service costs 2.1 times more in Idaho than in Connecticut. 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.

Montana· 2nd of 51

$2.63

ID $2.69CT $1.29

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.