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

Kentucky 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?

$2.51

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $2.51 for this service. The price depends on where it is billed: about $2.45 from a physician practice, and about $2.51 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$2.45$2.45 to $3.16
FacilityA hospital or hospital-owned outpatient department$2.51$2.51 to $6.61

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $7Professionalmedian $2 · 10th to 90th $2 to $4
$0.05$0.2$1$5$20facility $3professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$2.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$3.02
Typical High
$3.72
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.45
Typical High
$2.63
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$6.61
Typical High
$8.71
CareSource
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$6.17
Typical High
$7.94
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$6.92
Typical High
$6.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.45
Typical High
$23.44
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.47
Typical High
$7.08
United
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$1.91
Typical High
$2.29
United
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$2.24
Typical High
$3.16

Where Kentucky 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.

Kentucky· 48th of 51

$2.51

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.