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

Massachusetts 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?

$4.17

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $4.17 for this service. The price depends on where it is billed: about $4.17 from a physician practice, and about $3.47 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$4.17$2.40 to $4.37
FacilityA hospital or hospital-owned outpatient department$3.47$2.14 to $10.96

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $79Professionalmedian $4 · 10th to 90th $2 to $6
$10$100$1K$10Kfacility $3professional $4

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
$2.14
Median
$2.14
Typical High
$2.14
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.57
Typical High
$6.76
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$5.01
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$3.89
Typical High
$6.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$10.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$2.88
Typical High
$3.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.45
Typical High
$3.02
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$6.46
Health New England
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$2.19
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$5.01
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$3.89
Typical High
$6.03
United
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$2.09
Typical High
$5.01
United
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$3.89
Typical High
$4.37

Where Massachusetts 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.

Massachusetts· 10th of 51

$4.17

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.