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Ostomy Pouch, Drainable, Barrier with Flange

Rhode Island 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?

$2.00

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $2.00 for this service. The price depends on where it is billed: about $1.95 from a physician practice, and about $6.76 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$1.95$1.66 to $2.45
FacilityA hospital or hospital-owned outpatient department$6.76$2.29 to $7.94

How much rates vary

Facilitymedian $7 · 10th to 90th $2 to $9Professionalmedian $2 · 10th to 90th $2 to $3
$1.0$2.0$5.0$10.0facility $7professional $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. 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
$1.55
Median
$1.66
Typical High
$2.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$7.59
Typical High
$8.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.00
Typical High
$3.31
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.29
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$1.95
United
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$1.74
Typical High
$2.00
United
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$2.14
Typical High
$3.16

Where Rhode Island 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.

Rhode Island $2.00 · 48th 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.