HCPCS A5063
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each
Current codeOstomy11 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $4.63 – $19.55 | $9.20 | $23.00 |
| Deaconess Medical Center | $4.63 – $16.79 | $9.20 | $23.00 |
| Mary Bridge Children's Hospital | $4.63 – $18.72 | $9.20 | $23.00 |
| MultiCare Auburn Medical Center | $4.63 – $16.79 | $9.20 | $23.00 |
| MultiCare Covington Medical Center | $4.63 – $16.79 | $9.20 | $23.00 |
| MultiCare Good Samaritan Hospital | $4.63 – $16.79 | $9.20 | $23.00 |
| MultiCare Valley Hospital | $4.63 – $16.56 | $9.20 | $23.00 |
| Overlake Hospital Medical Center & Clinics | $7.56 | — | — |
| Tacoma General Allenmore Hospital | $4.63 – $16.79 | $9.20 | $23.00 |
| Virginia Mason Medical Center | $1.80 – $8.00 | $1.53 – $5.10 | $3.00 – $10.00 |
| Yakima Valley Memorial | $6.86 – $12.00 | $5.60 | $14.00 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $3.86 (fee)