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Ostomy Pouch, Drainable, One-Piece, Convex

Montana 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?

$7.41

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $7.41 for this service. The price depends on where it is billed: about $7.41 from a physician practice, and about $8.51 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$7.41$4.07 to $8.51
FacilityA hospital or hospital-owned outpatient department$8.51$6.61 to $9.12

How much rates vary

Facilitymedian $9 · 10th to 90th $5 to $10Professionalmedian $7 · 10th to 90th $3 to $38
$5$10$20$50facility $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
Professional
Modifier
Global
Typical Low
$2.40
Median
$6.92
Typical High
$38.02
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$8.51
Typical High
$8.51
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$9.12
Typical High
$9.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$9.12
Typical High
$9.12
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$8.51
Typical High
$16.60
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$8.51
Typical High
$16.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$8.13
Typical High
$10.47
Providence
Setting
Professional
Modifier
Global
Typical Low
$6.46
Median
$9.12
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$3.39
Typical High
$3.39
United
Setting
Professional
Modifier
Global
Typical Low
$3.31
Median
$3.72
Typical High
$5.01

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

$7.41

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.