go back

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

South Carolina 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?

$5.89

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $5.89 for this service. The price depends on where it is billed: about $5.37 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 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$5.37$4.37 to $6.92
FacilityA hospital or hospital-owned outpatient department$6.76$5.50 to $8.32

How much rates vary

Facilitymedian $7 · 10th to 90th $3 to $11Professionalmedian $5 · 10th to 90th $4 to $7
$5$10$20facility $7professional $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
$6.76
Median
$6.76
Typical High
$6.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$6.76
Typical High
$7.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$7.76
Typical High
$8.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$7.24
Typical High
$10.00
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$5.01
Typical High
$5.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$9.77
Medcost
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$5.37
Medcost
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$7.59
Typical High
$13.49
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
United
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$3.31
Typical High
$8.51
United
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.98
Typical High
$5.37

Where South Carolina 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.

South Carolina· 22nd of 51

$5.89

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.