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Ostomy Pouch, Drainable, One-Piece, Extended Wear

Iowa rates for HCPCS A4388

Ostomy pouch, drainable, with extended wear barrier attached, (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Drainable, One-Piece, Extended Wear cost?

$4.90

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $4.90 for this service. The price depends on where it is billed: about $4.90 from a physician practice, and about $5.13 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$4.90$3.72 to $5.25
FacilityA hospital or hospital-owned outpatient department$5.13$3.89 to $6.76

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $15Professionalmedian $5 · 10th to 90th $3 to $8
$2$5$10$20$50facility $5professional $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
$3.63
Median
$4.47
Typical High
$5.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$4.90
Typical High
$5.37
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$6.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$7.08
Typical High
$8.91
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$6.03
Typical High
$10.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$6.76
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.72
Typical High
$8.91
Midlands
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$7.08
Typical High
$7.94
Midlands
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$10.23
Typical High
$10.23
United
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.75
Typical High
$6.17
United
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$3.02
Typical High
$5.75
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.01
Typical High
$5.01

Where Iowa sits

The same service costs 2.2 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.

Iowa· 13th of 51

$4.90

HI $6.76CO $3.02

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.