Drainable ostomy pouch with flange at Medical City Argyle

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.

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Provider: anthropic
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Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

KIT OST DRN PCH/GRN 2.75

Argyle, TX

See all hospitals reporting HCPCS A5063 →

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How this price compares nationally

Medical City Argyle’s median price of $6 is 48% above the median hospital's median price ($4), higher than 73% of the 757 hospitals reporting HCPCS A5063. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A5063 at Medical City Argyle

Negotiated rates from the hospital’s own file: 13 payers, 58 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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#
1	Superior Healthplan chip percent of total billed charges · outpatientfrom % of charges	$2	$2	—	—	—	$2 – $2
2	Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges	$2	$2	—	—	—	$2 – $2
3	Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges	$2	$2	—	—	—	$2 – $2
4	Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges	$2	$2	—	—	—	$2 – $2
5	Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges	$2	$2	—	—	—	$2 – $2
6	Blue Cross Blue Shield blueadvantagehmo fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
7	Blue Cross Blue Shield mybluehealth fee schedule · outpatient	$3	$3	—	—	—	$3 – $3
8	Blue Cross Blue Shield bluepremier fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
9	Humana tricare fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
10	Blue Cross Blue Shield mcrppo fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
11	Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
12	Devoted hmo fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
13	Devoted mcr fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
14	Devoted mme fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
15	Devoted pos fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
16	Devoted ppo fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
17	Devoted snp fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
18	Humana mgmcr fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
19	UnitedHealthcare mgmcr fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
20	Aetna mcr fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
21	Cigna Healthspring mgmcr fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
22	WellCare mgmcr fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
23	Superior Healthplan mgmcrdualeligible fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
24	Superior Healthplan mgmcrhmo fee schedule · outpatient	$4	$4	—	—	—	$4 – $4
25	Superior Healthplan mgmcrpffs fee schedule · outpatient	$4	$4	—	—	—	$4 – $4

Page 1 of 3 · 58 rates

Last updated: Mar 1, 2026

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