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Ostomy Pouch, Closed, Barrier with Flange

New York rates for HCPCS A5054

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

Rates data updated July 2026.

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

$1.58

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $1.58 for this service. The price depends on where it is billed: about $1.58 from a physician practice, and about $1.78 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$1.58$1.32 to $2.09
FacilityA hospital or hospital-owned outpatient department$1.78$1.55 to $2.40

How much rates vary

Facilitymedian $2 · 10th to 90th $1 to $3Professionalmedian $2 · 10th to 90th $1 to $3
$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $2professional $2

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
$1.10
Median
$1.55
Typical High
$2.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.07
Median
$1.55
Typical High
$2.40
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.32
Median
$1.58
Typical High
$3.55
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$2.09
Typical High
$2.09
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.09
Typical High
$2.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.58
Typical High
$3.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.78
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$4.27
Typical High
$9.77
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$2.57
Typical High
$4.90
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$1.70
Typical High
$1.78
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.82
Typical High
$1.82
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1.15
Median
$2.45
Typical High
$2.88
United
Setting
Facility
Modifier
Global
Typical Low
$0.87
Median
$1.07
Typical High
$7.08
United
Setting
Professional
Modifier
Global
Typical Low
$0.89
Median
$1.62
Typical High
$4.27
Univera
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$1.82
Typical High
$1.82
Univera
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$1.82
Typical High
$1.82

Where New York sits

The same service costs 2.0 times more in Wisconsin than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

New York $1.58 · 34th of 51
WI $2.57CO $1.26

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.