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

Minnesota 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?

$4.90

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $4.90 for this service. The price depends on where it is billed: about $4.90 from a physician practice, and about $14.45 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$4.90$4.07 to $4.90
FacilityA hospital or hospital-owned outpatient department$14.45$5.37 to $20.89

How much rates vary

Facilitymedian $14 · 10th to 90th $3 to $40Professionalmedian $5 · 10th to 90th $3 to $6
$2$5$10$20$50facility $14professional $5

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
$3.16
Median
$3.16
Typical High
$3.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$3.16
Typical High
$4.17
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$5.75
Typical High
$8.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$4.90
Typical High
$4.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$18.20
Typical High
$50.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$6.31
Typical High
$7.08
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$19.95
Typical High
$39.81
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$6.31
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.14
Median
$4.90
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.41
Median
$2.09
Typical High
$5.89
United
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$1.91
Typical High
$2.24
United
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$2.45
Typical High
$6.76

Where Minnesota 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.

Minnesota· 4th of 51

$4.90

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.