Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS A5081 Fee Schedule
HCPCS A5081 is classified under Medical And Surgical Supplies, in the Ostomy Pouches and Supplies subgroup.
Stoma plug or seal, any type
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Ostomy Pouches and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | $3.625 median of the 8 states in the free preview · View Medicaid rates for A5081 |
National average reimbursement for HCPCS A5081 by major payers:
$3.41
BCBS / Anthem
$2.39
UnitedHealthcare
$2.91
Aetna
$5.52
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A5081.
HCPCS A5081
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$8.47Published rateUnion County Hospital Authority, Union General Hospital
Union County Hospital Authority
$3.26Published rateStephens County Anesthesia Services,LLC
Stephens County Anesthesia Servicesllc
$2.66Published rateHospital Authority Of Liberty County, Liberty Regional Medical Center
$1.87Published rateGrady Memorial Hospital Corporation, Grady Health Systems
Grady Memorial Hospital Corporation
$1.66Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS A5081 vs. Other Ostomy Pouches and Supplies Codes
The table lists codes related to A5081. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A5073-HCPCS | Low | Ostomy pouch, urinary; for use on barrier with flange (2-piece), each |
| A5081-HCPCS | Low | Stoma plug or seal, any type |
| A5082-HCPCS | Low | Continent device; catheter for continent stoma |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A5081. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A5081 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS A5081) and we'll show you how you compare in 15 minutes or less.