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Ostomy Pouch, Urinary, Barrier with Flange

South Dakota 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?

$4.17

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $4.17 for this service. The price depends on where it is billed: about $3.98 from a physician practice, and about $4.79 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$3.98$3.02 to $5.25
FacilityA hospital or hospital-owned outpatient department$4.79$3.16 to $5.13

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $7Professionalmedian $4 · 10th to 90th $3 to $7
$2.0$5.0$10.0$20.0$50.0facility $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
$3.16
Median
$3.16
Typical High
$3.16
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.02
Typical High
$5.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$2.69
Typical High
$4.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$6.61
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$4.90
Typical High
$8.13
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.74
Median
$2.82
Typical High
$21.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$4.90
Typical High
$4.90
Midlands
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$4.90
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$7.76
Typical High
$7.76
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.37
Typical High
$5.75
United
Setting
Facility
Modifier
Global
Typical Low
$1.74
Median
$2.09
Typical High
$3.16
United
Setting
Professional
Modifier
Global
Typical Low
$1.48
Median
$2.88
Typical High
$5.25
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$3.55

Where South Dakota 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 Dakota $4.17 · 5th 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.