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

New Hampshire 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?

$2.82

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $2.82 for this service. The price depends on where it is billed: about $2.82 from a physician practice, and about $2.57 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$2.82$2.45 to $4.37
FacilityA hospital or hospital-owned outpatient department$2.57$2.57 to $3.09

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $3Professionalmedian $3 · 10th to 90th $2 to $4
$2$5$10facility $3professional $3

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
$2.57
Median
$2.57
Typical High
$3.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.14
Median
$2.57
Typical High
$3.09
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.45
Typical High
$2.45
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$2.88
Typical High
$3.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.45
Typical High
$2.88
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$7.94
United
Setting
Facility
Modifier
Global
Typical Low
$1.29
Median
$1.91
Typical High
$2.04
United
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.82
Typical High
$4.37
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$6.61

Where New Hampshire 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.

New Hampshire· 41st of 51

$2.82

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.