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Ostomy Pouch, Closed, One-Piece, Convex

Oregon rates for HCPCS A4387

Ostomy pouch, closed, with barrier attached, with built-in convexity (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Closed, One-Piece, Convex cost?

$3.09

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $3.09 for this service. The price depends on where it is billed: about $2.51 from a physician practice, and about $3.16 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 8 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$2.51$1.78 to $3.16
FacilityA hospital or hospital-owned outpatient department$3.16$3.09 to $4.79

How much rates vary

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

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
Professional
Modifier
Global
Typical Low
$1.55
Median
$2.29
Typical High
$2.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$1.91
Typical High
$1.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$1.62
Typical High
$1.62
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$6.03
Typical High
$6.92
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.40
Typical High
$3.31
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.95
Typical High
$3.55
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$3.09
Median
$3.16
Typical High
$4.79
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$3.16
Typical High
$3.80
Providence
Setting
Facility
Modifier
Global
Typical Low
$1.91
Median
$2.95
Typical High
$4.27
Providence
Setting
Professional
Modifier
Global
Typical Low
$1.62
Median
$1.62
Typical High
$79.43
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$2.75
Median
$3.55
Typical High
$3.55
United
Setting
Facility
Modifier
Global
Typical Low
$1.20
Median
$2.00
Typical High
$2.40
United
Setting
Professional
Modifier
Global
Typical Low
$1.05
Median
$1.32
Typical High
$2.63

Where Oregon sits

The same service costs 2.1 times more in California 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.

Oregon· 8th of 51

$3.09

CA $3.55CO $1.66

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.