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

Michigan 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?

$3.63

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $3.63 for this service. The price depends on where it is billed: about $3.63 from a physician practice, and about $5.01 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 7 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$3.63$2.63 to $4.90
FacilityA hospital or hospital-owned outpatient department$5.01$3.80 to $14.79

How much rates vary

Facilitymedian $5 · 10th to 90th $2 to $22Professionalmedian $4 · 10th to 90th $2 to $5
$0.1$1$10facility $5professional $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
$3.80
Median
$3.80
Typical High
$3.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.51
Median
$3.09
Typical High
$3.80
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.46
Median
$14.79
Typical High
$28.18
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$5.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$3.24
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$2.88
Typical High
$2.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$3.02
Typical High
$3.02
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$2.63
Typical High
$10.23
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$3.98
Typical High
$6.03
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$4.07
United
Setting
Facility
Modifier
Global
Typical Low
$1.35
Median
$1.91
Typical High
$3.16
United
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$2.29
Typical High
$3.55

Where Michigan 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.

Michigan· 15th of 51

$3.63

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.