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
OSTOMY POUCH; DRAINABLE; FOR USE ON BARRIER WITH FLANGE (2 PIECE SYSTEM); EACH
Low
$2
Average
$37
Median
$17
High
$184
Each hospital's average First Health rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 26.0× 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.
Filter by billing methodology
Filter by billing class
69 hospital rates
iThe hospitals that file a First Health 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 | ALASKA REGIONAL HOSPITAL Anchorage, AK percent of total billed charges · outpatientfrom % of charges | 2 | $100 | $100 | — | — | — | $100 – $100 |
| 2 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · inpatient | 1 | $70 | $70 | $64 | 91% | — | $6 – $134 |
| 3 | BURLESON ST. JOSEPH HEALTH CENTER OF CALDWELL, TEXAS Caldwell, TX fee schedule · outpatient | 1 | $70 | $70 | $64 | 91% | — | $6 – $134 |
| 4 | Bexar County Hospital District San Antonio, TX fee schedule · outpatient | 1 | $4 | $4 | — | — | — | $4 – $4 |
| 5 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 6 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $2 | $2 | — | — | — | $2 – $2 |
| 7 | Duncan Regional Hospital Duncan, OK percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $8 | $9 | 106% | — | $2 – $25 |
| 8 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · inpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 9 | Good Samaritan Hospital Puyallup, WA percent of total billed charges · outpatientfrom % of charges | 1 | $17 | $17 | — | — | — | $17 – $17 |
| 10 | HCA HOUSTON HEALTHCARE CLEAR LAKE WEBSTER, TX percent of total billed charges · outpatientfrom % of charges | 1 | $35 | $41 | $31 | 75% | — | $8 – $107 |
| 11 | HCA HOUSTON HEALTHCARE MEDICAL CENTER HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 1 | $76 | $74 | $38 | 51% | — | $23 – $122 |
| 12 | HCA HOUSTON HEALTHCARE NORTHWEST HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 1 | $123 | $123 | — | — | — | $123 – $123 |
| 13 | HCA HOUSTON HEALTHCARE PEARLAND HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 1 | $42 | $69 | $39 | 57% | — | $41 – $124 |
| 14 | HCA HOUSTON HEALTHCARE SOUTHEAST HOUSTON, TX percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $63 | $56 | 89% | — | $12 – $169 |
| 15 | HCA HOUSTON HEALTHCARE TOMBALL Tomball, TX percent of total billed charges · outpatientfrom % of charges | 1 | $27 | $27 | — | — | — | $27 – $27 |
| 16 | HCA HOUSTON MAINLAND Texas City, TX percent of total billed charges · outpatientfrom % of charges | 1 | $31 | $36 | $32 | 88% | — | $8 – $116 |
| 17 | HCA Healthcare Live Oak Mental Health and Wellness Ladson, SC percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $78 | $56 | 72% | — | $15 – $226 |
| 18 | HCA Healthcare Summerville Hospital SUMMERVILLE, SC percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $78 | $56 | 72% | — | $15 – $226 |
| 19 | HCA Healthcare Trident Hospital SUMMERVILLE, SC percent of total billed charges · outpatientfrom % of charges | 1 | $72 | $78 | $56 | 72% | — | $15 – $226 |
| 20 | HCA Houston Rehabilitation Hospital Southeast Pasadena, TX percent of total billed charges · outpatientfrom % of charges | 1 | $56 | $63 | $56 | 89% | — | $12 – $169 |
| 21 | Hospital Authority of Colquitt County Moultrie, GA fee schedule · both | 1 | $60 | $63 | $6 | 10% | — | $57 – $74 |
| 22 | Jefferson County Hospital OK Waurika, OK percent of total billed charges · outpatientfrom % of charges | 1 | $5 | $8 | $9 | 106% | — | $2 – $25 |
| 23 | LOS ROBLES HOSPITAL AND MEDICAL CENTER THOUSAND OAKS, CA percent of total billed charges · outpatientfrom % of charges | 1 | $47 | $57 | $21 | 38% | — | $37 – $86 |
| 24 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · inpatient | 1 | $70 | $70 | $64 | 91% | — | $6 – $134 |
| 25 | MADISON ST JOSEPH HEALTH CENTER Madisonville, TX fee schedule · outpatient | 1 | $70 | $70 | $64 | 91% | — | $6 – $134 |
← Payers reporting HCPCS A5063 · Snapshot 20261111T120946Z-9134e7f7