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Ostomy Pouch, Urinary, Barrier with Flange

Illinois rates for HCPCS A5073

Ostomy pouch, urinary; for use on barrier with flange (two piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Urinary, Barrier with Flange cost?

$3.02

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $3.02 for this service. The price depends on where it is billed: about $2.95 from a physician practice, and about $4.57 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 5 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$2.95$2.51 to $3.63
FacilityA hospital or hospital-owned outpatient department$4.57$2.51 to $9.12

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $26Professionalmedian $3 · 10th to 90th $2 to $5
$0.1$1.0$10.0$100.0facility $5professional $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
$2.51
Median
$2.51
Typical High
$4.57
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.04
Median
$2.75
Typical High
$4.57
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$9.77
Typical High
$38.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$3.39
Typical High
$3.39
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$2.69
Typical High
$5.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$5.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$6.46
Typical High
$8.71
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
United
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$4.57
Typical High
$4.57
United
Setting
Professional
Modifier
Global
Typical Low
$1.58
Median
$2.19
Typical High
$3.89

Where Illinois sits

The same service costs 2.4 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Illinois $3.02 · 21st of 51
HI $5.13CO $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.