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
$1
Average
$9
Median
$8
High
$32
Each hospital's average MultiPlan rate, under the methodology and billing class chosen below.
12 hospitals; the 90th percentile is 6.9× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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14 hospital rates
iThe hospitals that file a MultiPlan 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 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $3 | $3 | — | — | — | $3 – $3 |
| 2 | Boulder Community Health Lafayette, CO professional · fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 3 | Chapman Global Medical Center Orange, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 4 | Chapman Global Medical Center Orange, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $19 | $19 | — | — | — | $19 – $19 |
| 5 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 6 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 7 | Covenant Medical Center Inc Saginaw, MI professional · percent of total billed charges · bothfrom % of charges | 1 | $9 | $9 | — | — | — | $9 – $9 |
| 8 | HMH HOSPITALS CORPORATION North Bergen, NJ facility · fee schedule · outpatient | 1 | $6 | $6 | — | — | — | $6 – $6 |
| 9 | MEDICAL CITY NORTH HILLS North Richland Hills, TX percent of total billed charges · outpatientfrom % of charges | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 10 | MEDICAL CITY WEATHERFORD Weatherford, TX percent of total billed charges · outpatientfrom % of charges | 1 | $12 | $12 | — | — | — | $12 – $12 |
| 11 | MISSION HOSPITAL Arden, NC percent of total billed charges · outpatientfrom % of charges | 1 | $1 | $1 | — | — | — | $1 – $1 |
| 12 | Orange County Global Medical Center Santa Ana, CA facility · percent of total billed charges · inpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 13 | Orange County Global Medical Center Santa Ana, CA facility · percent of total billed charges · outpatientfrom % of charges | 1 | $32 | $32 | — | — | — | $32 – $32 |
| 14 | UCHealth Estes Valley Medical Center Estes Park, CO fee schedule · both | 1 | $4 | $4 | — | — | — | $4 – $4 |
← Payers reporting HCPCS A5054 · Snapshot 20261112T124536Z-e251e855