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Ostomy Pouch, Drainable, with Barrier Attached, (One Piece)

Illinois rates for HCPCS A5061

Ostomy pouch, drainable; with barrier attached, (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Drainable, with Barrier Attached, (One Piece) cost?

$3.31

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $3.31 for this service. The price depends on where it is billed: about $3.24 from a physician practice, and about $5.01 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 5 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$3.24$2.75 to $4.17
FacilityA hospital or hospital-owned outpatient department$5.01$2.75 to $10.96

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $27Professionalmedian $3 · 10th to 90th $2 to $5
$0.1$1.0$10.0$100.0facility $5professional $3

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
$2.75
Median
$2.75
Typical High
$5.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$3.09
Typical High
$5.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$11.22
Typical High
$42.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.80
Typical High
$3.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$5.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$5.37
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.50
Typical High
$12.02
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$6.46
Typical High
$6.46
United
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$5.01
Typical High
$5.01
United
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.45
Typical High
$4.37

Where Illinois sits

The same service costs 2.1 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $3.31 · 27th of 51
HI $5.01CO $2.40

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.