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Ostomy Pouch, Drainable, without Barrier

Illinois rates for HCPCS A5062

Ostomy pouch, drainable; without barrier attached (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Drainable, without Barrier cost?

$2.04

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $2.04 for this service. The price depends on where it is billed: about $2.00 from a physician practice, and about $2.95 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$2.00$1.62 to $2.45
FacilityA hospital or hospital-owned outpatient department$2.95$1.62 to $6.03

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $17Professionalmedian $2 · 10th to 90th $1 to $3
$1$2$5$10$20facility $3professional $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
$1.62
Median
$1.62
Typical High
$2.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.82
Typical High
$2.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$6.46
Typical High
$25.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.38
Median
$2.24
Typical High
$2.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.86
Median
$1.86
Typical High
$3.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$1.58
Typical High
$3.72
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$4.68
Typical High
$6.31
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
$3.80
Median
$3.80
Typical High
$4.07
United
Setting
Facility
Modifier
Global
Typical Low
$1.00
Median
$2.95
Typical High
$2.95
United
Setting
Professional
Modifier
Global
Typical Low
$1.10
Median
$1.45
Typical High
$2.51

Where Illinois 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.

Illinois· 28th of 51

$2.04

HI $3.24CO $1.55

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.