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

South Dakota 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?

$4.57

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $4.57 for this service. The price depends on where it is billed: about $4.47 from a physician practice, and about $5.25 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 7 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$4.47$3.31 to $5.62
FacilityA hospital or hospital-owned outpatient department$5.25$3.47 to $5.62

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $7Professionalmedian $4 · 10th to 90th $3 to $7
$2$5$10$20$50facility $5professional $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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$3.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.31
Typical High
$5.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$2.88
Typical High
$5.50
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$7.08
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$5.37
Typical High
$8.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$3.09
Typical High
$23.99
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.37
Typical High
$5.37
Midlands
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
Midlands
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$8.71
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$4.79
Typical High
$6.31
United
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$2.29
Typical High
$3.47
United
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$3.24
Typical High
$5.75
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.07

Where South Dakota 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.

South Dakota· 5th of 51

$4.57

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.