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

Ohio rates for HCPCS A5071

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

Rates data updated July 2026.

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

$5.37

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $5.37 for this service. The price depends on where it is billed: about $5.25 from a physician practice, and about $5.50 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 9 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$5.25$4.17 to $6.46
FacilityA hospital or hospital-owned outpatient department$5.50$5.25 to $8.51

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $9Professionalmedian $5 · 10th to 90th $4 to $9
$5$10$20facility $5professional $5

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
$5.37
Median
$7.08
Typical High
$8.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.37
Typical High
$7.24
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$5.13
Typical High
$11.22
Aultcare
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
CareSource
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$7.08
Typical High
$10.00
CareSource
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$7.59
Typical High
$11.22
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$5.37
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.37
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$5.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$6.92
Typical High
$9.77
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$9.55
Typical High
$17.78
United
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$3.80
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.98
Typical High
$5.75

Where Ohio sits

The same service costs 2.2 times more in Kansas 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.

Ohio· 33rd of 51

$5.37

KS $8.91CO $4.07

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.