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

New York 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?

$2.69

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $2.69 for this service. The price depends on where it is billed: about $2.57 from a physician practice, and about $3.72 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$2.57$2.45 to $4.37
FacilityA hospital or hospital-owned outpatient department$3.72$3.02 to $4.68

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $7Professionalmedian $3 · 10th to 90th $2 to $7
$10$100$1K$10Kfacility $4professional $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
$2.14
Median
$3.02
Typical High
$5.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$3.02
Typical High
$4.68
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$2.51
Typical High
$6.92
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.07
Typical High
$4.07
CDPHP
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
$2.88
Typical High
$6.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.45
Typical High
$2.45
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$8.32
Typical High
$19.50
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$5.75
Typical High
$9.55
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$3.72
Typical High
$3.89
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$3.72
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$4.79
Typical High
$5.89
United
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$2.09
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$3.31
Typical High
$8.32
Univera
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$3.72
Typical High
$4.07
Univera
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$3.72

Where New York 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 York· 44th of 51

$2.69

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.