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

Oregon 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?

$4.37

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $4.37 for this service. The price depends on where it is billed: about $3.63 from a physician practice, and about $4.37 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 8 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$2.19 to $4.79
FacilityA hospital or hospital-owned outpatient department$4.37$4.37 to $4.90

How much rates vary

Facilitymedian $4 · 10th to 90th $4 to $5Professionalmedian $4 · 10th to 90th $2 to $5
$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
$1.45
Median
$2.40
Typical High
$3.63
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$2.88
Typical High
$2.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.45
Typical High
$2.45
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$9.77
Typical High
$11.22
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.39
Median
$3.89
Typical High
$5.13
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.07
Typical High
$5.75
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.79
Typical High
$4.90
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.90
Typical High
$5.37
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$4.17
Typical High
$5.50
Providence
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$4.17
Typical High
$8.13
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.50
Typical High
$5.50
United
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$1.95
Typical High
$3.16
United
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$2.09
Typical High
$3.98

Where Oregon 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.

Oregon· 7th of 51

$4.37

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.