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Ostomy Pouch, Drainable, One-Piece, Extended Wear

Montana 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?

$5.25

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $5.25 for this service. The price depends on where it is billed: about $5.25 from a physician practice, and about $5.89 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 6 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$5.25$2.82 to $5.89
FacilityA hospital or hospital-owned outpatient department$5.89$4.68 to $6.46

How much rates vary

Facilitymedian $6 · 10th to 90th $4 to $7Professionalmedian $5 · 10th to 90th $2 to $26
$2$5$10$20$50facility $6professional $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
Professional
Modifier
Global
Typical Low
$1.66
Median
$4.90
Typical High
$26.30
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$5.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$6.46
Typical High
$6.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$6.46
Typical High
$6.46
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$4.68
Median
$5.89
Typical High
$11.48
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$4.68
Median
$5.89
Typical High
$11.48
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$5.62
Typical High
$7.41
Providence
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$6.46
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$2.34
Typical High
$2.34
United
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$2.57
Typical High
$3.47

Where Montana 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.

Montana· 11th of 51

$5.25

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.