HCPCS Code: A5055
Stoma Cap for Ostomy Care (A5055)
Prices last updated: March 2026
Typical Healthcare System Prices
Private insurers typically reimburse about 2x the Medicare allowed amount.
Without insurance, providers typically charge 3–5x the Medicare allowed amount.
Original Medicare (Part B) covers 80% (~$2.00) after the $283 annual deductible. Your 20% coinsurance: ~Data unavailable. Medicare Advantage plans vary.
Estimated national averages. Actual costs vary by provider, region, and plan.
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About Stoma Cap for Ostomy Care (A5055)
HCPCS code A5055 is the Medicare and insurance billing code for Stoma Cap for Ostomy Care (A5055). This code is used by healthcare providers and insurance companies when prescribing and processing claims for this durable medical equipment (DME) item.
Durable medical equipment (DME) includes a wide range of devices and supplies prescribed by healthcare providers for use in the home. These items are covered by Medicare and most insurance plans under specific HCPCS billing codes, but out-of-pocket costs can vary significantly between providers.
Many patients find that purchasing DME items like stoma cap for ostomy care (a5055) directly on Amazon can be significantly cheaper than going through traditional healthcare channels, especially for those with high deductibles or limited insurance coverage.
Frequently Asked Questions
What is HCPCS code A5055?
HCPCS code A5055 is the Medicare and insurance billing code for Stoma Cap for Ostomy Care (A5055). Healthcare providers use this code when prescribing and billing for this durable medical equipment (DME) item.
How much does Stoma Cap for Ostomy Care (A5055) cost?
The typical private insurance price for Stoma Cap for Ostomy Care (A5055) is $4.00. If paying cash without insurance, expect to pay around $7.00. The estimated Medicare Allowed Amount is $2.00. The same or equivalent product is available on Amazon for approximately $2.10.
How much does Medicare pay for Stoma Cap for Ostomy Care (A5055)?
The estimated Medicare Allowed Amount for Stoma Cap for Ostomy Care (A5055) is $2.00. Under Original Medicare Part B, Medicare covers 80% (approximately $2.00) after the annual deductible ($283 in 2026). Your 20% coinsurance would be approximately Data unavailable. Medicare Advantage plan costs vary.
Can I buy Stoma Cap for Ostomy Care (A5055) on Amazon instead of through my insurance?
Yes. Many durable medical equipment items covered under HCPCS code A5055 are available on Amazon at up to 70% less than typical healthcare prices. This can be a smart option if you have a high deductible, high copay, or no insurance coverage for DME.
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