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Ostomy Pouch, Closed, Barrier with Flange

Rhode Island 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?

$1.32

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $1.32 for this service. The price depends on where it is billed: about $1.32 from a physician practice, and about $4.47 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 4 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$1.32$1.10 to $1.62
FacilityA hospital or hospital-owned outpatient department$4.47$1.32 to $5.25

How much rates vary

Facilitymedian $4 · 10th to 90th $1 to $6Professionalmedian $1 · 10th to 90th $1 to $2
$1.0$2.0$5.0$10.0facility $4professional $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. 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
$1.02
Median
$1.10
Typical High
$1.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$5.01
Typical High
$5.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$1.32
Typical High
$2.19
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$1.29
Typical High
$1.29
United
Setting
Facility
Modifier
Global
Typical Low
$1.12
Median
$1.12
Typical High
$1.32
United
Setting
Professional
Modifier
Global
Typical Low
$0.98
Median
$1.45
Typical High
$2.09

Where Rhode Island 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.

Rhode Island $1.32 · 47th 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.