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Ostomy Pouch, Urinary, without Barrier Attached (One Piece)

Idaho rates for HCPCS A5072

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

Rates data updated July 2026.

How much does Ostomy Pouch, Urinary, without Barrier Attached (One Piece) cost?

$3.47

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $3.47 for this service. The price depends on where it is billed: about $3.47 from a physician practice, and about $4.07 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 8 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$3.47$2.45 to $4.68
FacilityA hospital or hospital-owned outpatient department$4.07$3.09 to $5.01

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $6Professionalmedian $3 · 10th to 90th $1 to $6
$2$5$10facility $4professional $3

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
Professional
Modifier
Global
Typical Low
$1.45
Median
$3.31
Typical High
$5.75
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$3.98
Typical High
$7.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.68
Typical High
$5.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$2.88
Typical High
$3.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.45
Typical High
$2.88
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$1.35
Median
$4.27
Typical High
$6.46
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.27
Typical High
$4.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$5.50
Select Health
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.37
Typical High
$6.46
Select Health
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$4.07
Typical High
$4.68
United
Setting
Facility
Modifier
Global
Typical Low
$1.66
Median
$1.91
Typical High
$3.16
United
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.09
Typical High
$2.82

Where Idaho sits

The same service costs 2.8 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.

Idaho· 16th of 51

$3.47

HI $6.03CO $2.14

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.