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Ostomy Pouch, Drainable, One-Piece, Convex

Michigan 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?

$6.61

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $6.61 for this service. The price depends on where it is billed: about $6.61 from a physician practice, and about $9.12 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 8 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$6.61$4.68 to $8.71
FacilityA hospital or hospital-owned outpatient department$9.12$6.61 to $26.30

How much rates vary

Facilitymedian $9 · 10th to 90th $4 to $40Professionalmedian $7 · 10th to 90th $4 to $9
$0.1$1$10facility $9professional $7

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
$6.61
Median
$6.61
Typical High
$6.61
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.34
Median
$5.37
Typical High
$7.41
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.48
Median
$26.30
Typical High
$50.12
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$9.12
CareSource
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$5.50
Typical High
$5.75
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$6.76
Median
$7.76
Typical High
$18.20
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$10.72
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$7.08
United
Setting
Facility
Modifier
Global
Typical Low
$2.40
Median
$3.39
Typical High
$5.50
United
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.07
Typical High
$6.17

Where Michigan 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.

Michigan· 17th of 51

$6.61

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.