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Ostomy Pouch, Drainable, One-Piece, Extended Wear

Massachusetts 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?

$5.37

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $5.37 for this service. The price depends on where it is billed: about $5.37 from a physician practice, and about $4.17 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 9 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$5.37$2.95 to $5.37
FacilityA hospital or hospital-owned outpatient department$4.17$2.69 to $12.59

How much rates vary

Facilitymedian $4 · 10th to 90th $3 to $79Professionalmedian $5 · 10th to 90th $3 to $8
$10$100$1K$10Kfacility $4professional $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
$2.69
Median
$2.69
Typical High
$2.69
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$3.24
Typical High
$8.51
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.89
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$5.01
Typical High
$7.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$12.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$4.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$3.09
Typical High
$4.37
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$5.37
Typical High
$7.94
Health New England
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.89
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$5.01
Typical High
$7.41
United
Setting
Facility
Modifier
Global
Typical Low
$2.00
Median
$2.57
Typical High
$6.17
United
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$4.79
Typical High
$5.37

Where Massachusetts 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.

Massachusetts· 8th of 51

$5.37

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.