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
Plano, TX
See all hospitals reporting HCPCS A5063 →Price type
Medical City Plano’s median price of $4 is 11% above the median hospital's median price ($4), higher than 67% of the 757 hospitals reporting HCPCS A5063. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 11 payers, 52 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 | $1 | 69% | — | $1 – $3 |
| 2 | Superior Healthplan mcdstar percent of total billed charges · outpatientfrom % of charges | $2 | $2 | $1 | 69% | — | $1 – $3 |
| 3 | Superior Healthplan starhealth percent of total billed charges · outpatientfrom % of charges | $2 | $2 | $1 | 69% | — | $1 – $3 |
| 4 | Superior Healthplan starkids percent of total billed charges · outpatientfrom % of charges | $2 | $2 | $1 | 69% | — | $1 – $3 |
| 5 | Superior Healthplan starplus percent of total billed charges · outpatientfrom % of charges | $2 | $2 | $1 | 69% | — | $1 – $3 |
| 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 | Cigna ifp percent of total billed charges · outpatientfrom % of charges | $3 | $3 | $2 | 69% | — | $1 – $6 |
| 9 | Cigna qhp percent of total billed charges · outpatientfrom % of charges | $4 | $4 | $2 | 69% | — | $1 – $6 |
| 10 | Blue Cross Blue Shield bluepremier fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 11 | Humana tricare fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 12 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 13 | Blue Cross Blue Shield mgmcrhmo fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 14 | Devoted hmo fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 15 | Devoted mcr fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 16 | Devoted mme fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 17 | Devoted pos fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 18 | Devoted ppo fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 19 | Devoted snp fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 20 | Humana mgmcr fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 21 | UnitedHealthcare mgmcr fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 22 | Aetna mcr fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 23 | Cigna Healthspring mgmcr fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 24 | WellCare mgmcr fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 25 | Superior Healthplan mgmcrdualeligible fee schedule · outpatient | $4 | $4 | — | — | — | $4 – $4 |
Last updated: Mar 1, 2026
See Drainable ostomy pouch with flange pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.