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

Illinois 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?

$3.09

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $3.09 for this service. The price depends on where it is billed: about $3.09 from a physician practice, and about $4.90 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$3.09$2.69 to $4.17
FacilityA hospital or hospital-owned outpatient department$4.90$2.69 to $10.72

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $26Professionalmedian $3 · 10th to 90th $2 to $5
$2$5$10$20$50facility $5professional $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
Facility
Modifier
Global
Typical Low
$2.69
Median
$2.69
Typical High
$4.90
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.95
Typical High
$4.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$11.22
Typical High
$41.69
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$2.88
Typical High
$5.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.45
Typical High
$2.95
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$4.57
Typical High
$6.76
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$6.31
Typical High
$6.46
United
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$4.90
Typical High
$4.90
United
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.40
Typical High
$4.17

Where Illinois 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.

Illinois· 28th of 51

$3.09

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.