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Ostomy Pouch, Drainable, One-Piece, Convex

Hawaii 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?

$9.55

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $9.55 for this service. Most negotiated rates run $4.90 to $9.55.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $3 · 10th to 90th $3 to $7Professionalmedian $10 · 10th to 90th $4 to $10
$5$10facility $3professional $10

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$4.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.75
Typical High
$7.41
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$8.71
Typical High
$11.75
HMSA
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$10.00
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$9.55
Typical High
$13.49
United
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$2.95
Typical High
$3.39
United
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$6.17
Typical High
$11.75

Where Hawaii 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.

Hawaii· 1st of 51

$9.55

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.