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 | $18.40 – $19.55 | $9.20 | $23.00 |
| Deaconess Medical Center | $16.33 – $16.79 | $9.20 | $23.00 |
| Mary Bridge Children's Hospital | $15.04 – $18.40 | $9.20 | $23.00 |
| MultiCare Auburn Medical Center | $16.79 | $9.20 | $23.00 |
| MultiCare Covington Medical Center | $16.79 | $9.20 | $23.00 |
| MultiCare Good Samaritan Hospital | $16.79 | $9.20 | $23.00 |
| MultiCare Valley Hospital | $16.56 | $9.20 | $23.00 |
| Tacoma General Allenmore Hospital | $16.79 | $9.20 | $23.00 |
| Virginia Mason Medical Center | $1.92 – $8.00 | $1.53 – $5.10 | $3.00 – $10.00 |
| Yakima Valley Memorial | $7.84 | $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)