go back

Ostomy Pouch, Urinary, Barrier with Flange

Oregon 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?

$3.98

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $3.98 for this service. The price depends on where it is billed: about $3.39 from a physician practice, and about $3.98 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$3.39$2.19 to $4.37
FacilityA hospital or hospital-owned outpatient department$3.98$3.98 to $4.37

How much rates vary

Facilitymedian $4 · 10th to 90th $4 to $4Professionalmedian $3 · 10th to 90th $1 to $5
$2.0$5.0$10.0$20.0$50.0$100.0$200.0facility $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
Professional
Modifier
Global
Typical Low
$1.32
Median
$2.19
Typical High
$3.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$2.69
Typical High
$2.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.29
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$8.13
Typical High
$9.55
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$3.55
Typical High
$4.68
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.07
Typical High
$5.25
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.07
Typical High
$4.47
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$4.07
Typical High
$4.47
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.80
Typical High
$5.01
Providence
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$4.27
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.01
Typical High
$5.01
United
Setting
Facility
Modifier
Global
Typical Low
$1.45
Median
$1.74
Typical High
$2.82
United
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$1.86
Typical High
$3.63

Where Oregon 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.

Oregon $3.98 · 7th 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.