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

Montana 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?

$4.07

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $4.07 for this service. The price depends on where it is billed: about $4.07 from a physician practice, and about $4.07 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$4.07$2.24 to $4.17
FacilityA hospital or hospital-owned outpatient department$4.07$3.24 to $4.37

How much rates vary

Facilitymedian $4 · 10th to 90th $3 to $6Professionalmedian $4 · 10th to 90th $2 to $21
$2$5$10$20$50facility $4professional $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
Professional
Modifier
Global
Typical Low
$1.35
Median
$3.39
Typical High
$21.38
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$4.37
Typical High
$4.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$3.55
Typical High
$4.37
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3.24
Median
$4.07
Typical High
$7.94
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$4.07
Typical High
$7.94
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.19
Median
$3.89
Typical High
$5.75
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$4.37
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$1.66
Median
$1.91
Typical High
$1.91
United
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.09
Typical High
$2.82

Where Montana 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.

Montana· 11th of 51

$4.07

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.