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Ostomy Pouch, Urinary, Barrier with Flange

South Carolina 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?

$3.39

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $3.39 for this service. The price depends on where it is billed: about $3.09 from a physician practice, and about $3.55 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 6 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$3.09$2.40 to $3.63
FacilityA hospital or hospital-owned outpatient department$3.55$2.95 to $4.37

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $6Professionalmedian $3 · 10th to 90th $2 to $4
$0.1$0.2$1.0$5.0$20.0facility $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
Facility
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$3.55
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$3.55
Typical High
$3.89
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$4.07
Typical High
$4.57
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.47
Typical High
$5.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.69
Typical High
$3.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$5.25
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$2.24
Typical High
$2.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.98
Typical High
$7.24
Medcost
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.23
Typical High
$1.51
Molina
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
United
Setting
Facility
Modifier
Global
Typical Low
$1.41
Median
$1.74
Typical High
$4.57
United
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$2.14
Typical High
$2.88

Where South Carolina 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.

South Carolina $3.39 · 14th 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.