go back

Ostomy Pouch, Drainable, Barrier with Flange

North Dakota rates for HCPCS A5063

Ostomy pouch, drainable; for use on barrier with flange (two-piece system), each

Rates data updated July 2026.

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

$3.47

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $3.47 for this service. The price depends on where it is billed: about $3.55 from a physician practice, and about $2.75 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$3.55$2.75 to $4.17
FacilityA hospital or hospital-owned outpatient department$2.75$2.40 to $2.75

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $5Professionalmedian $4 · 10th to 90th $2 to $5
$1.0$2.0$5.0$10.0$20.0$50.0facility $3professional $4

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
$2.40
Median
$2.75
Typical High
$2.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.12
Median
$2.40
Typical High
$14.45
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$4.17
Typical High
$4.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$2.40
Typical High
$2.40
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$4.47
Typical High
$5.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$3.24
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$1.78
Typical High
$3.80
United
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$1.74
United
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$2.29
Typical High
$4.47

Where North Dakota 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.

North Dakota $3.47 · 6th of 51
HI $3.89CO $1.82

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.