go back

Ostomy Barrier, Solid 4x4, Extended Wear, Flat

Illinois rates for HCPCS A4385

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each

Rates data updated July 2026.

How much does Ostomy Barrier, Solid 4x4, Extended Wear, Flat cost?

$4.57

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $4.57 for this service. The price depends on where it is billed: about $4.57 from a physician practice, and about $7.24 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.57$3.98 to $5.75
FacilityA hospital or hospital-owned outpatient department$7.24$3.98 to $18.62

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $41Professionalmedian $5 · 10th to 90th $3 to $7
$2$5$10$20$50facility $7professional $5

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$7.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$3.98
Typical High
$7.24
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
BCBS
Setting
Facility
Modifier
Global
Typical Low
$10.96
Median
$19.05
Typical High
$61.66
BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$5.50
Typical High
$5.50
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$7.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$7.76
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.76
Typical High
$14.13
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$9.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.24
Typical High
$3.24
United
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$7.24
Typical High
$7.24
United
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$3.55
Typical High
$6.17

Where Illinois sits

The same service costs 2.4 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Illinois· 30th of 51

$4.57

HI $7.76CO $3.24

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.