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

New Mexico 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?

$3.47

Typical negotiated rate. In New Mexico, July 2026.

Insurers have agreed to pay about $3.47 for this service. The price depends on where it is billed: about $2.95 from a physician practice, and about $12.30 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 6 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$2.95$2.09 to $3.63
FacilityA hospital or hospital-owned outpatient department$12.30$3.72 to $28.18

How much rates vary

Facilitymedian $12 · 10th to 90th $2 to $42Professionalmedian $3 · 10th to 90th $1 to $5
$10$100$1K$10K$100Kfacility $12professional $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
$3.63
Median
$3.63
Typical High
$3.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$2.95
Typical High
$21.38
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$26.30
Typical High
$44.67
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$3.98
Typical High
$3.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$7.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$4.90
Typical High
$7.41
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.35
Median
$3.55
Typical High
$5.50
Providence
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$5.13
United
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$2.09
Typical High
$5.01
United
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.09
Typical High
$3.16

Where New Mexico sits

The same service costs 2.1 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.

New Mexico· 23rd of 51

$3.47

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.