Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
HC (SUP SHELL A5054) CLSD OSTOMY POUCH W/FLANGE
Low
$3
Average
$12
Median
$10
High
$28
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6 hospital rates
iThe hospitals that file a Magellan rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Chapman Global Medical Center Orange, CA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 2 | Chapman Global Medical Center Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $16 | $16 | — | — | — | $16 – $16 |
| 3 | Gerald Champion Regional Medical Center Alamogordo, NM fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 4 | MEDICAL CITY NORTH HILLS North Richland Hills, TX percent of total billed charges · outpatientfrom % of charges | 2 | $4 | $4 | — | — | — | $4 – $4 |
| 5 | Orange County Global Medical Center Santa Ana, CA facility · percent of total billed charges · inpatientfrom % of charges | 2 | $28 | $28 | — | — | — | $28 – $28 |
| 6 | Orange County Global Medical Center Santa Ana, CA facility · percent of total billed charges · outpatientfrom % of charges | 2 | $28 | $28 | — | — | — | $28 – $28 |
← Payers reporting HCPCS A5054 · Snapshot 20261112T124536Z-e251e855