go back

Ostomy Pouch, Drainable, One-Piece, Convex

Georgia rates for HCPCS A4389

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

Rates data updated July 2026.

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

$5.75

Typical negotiated rate. In Georgia, July 2026.

Insurers have agreed to pay about $5.75 for this service. The price depends on where it is billed: about $5.75 from a physician practice, and about $5.50 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$5.75$4.90 to $7.24
FacilityA hospital or hospital-owned outpatient department$5.50$4.37 to $5.50

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $5Professionalmedian $6 · 10th to 90th $4 to $9
$0.1$0.5$2$10facility $5professional $6

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
$5.50
Median
$5.50
Typical High
$5.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.50
Typical High
$7.59
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$7.24
Typical High
$11.48
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
CareSource
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$12.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$10.47
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$8.91
Typical High
$14.13
United
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$3.47
Typical High
$8.91
United
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.17
Typical High
$8.51

Where Georgia 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.

Georgia· 27th of 51

$5.75

HI $9.55CO $4.37

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.