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Ostomy Pouch, Drainable, One-Piece, Extended Wear, Convex

Rhode Island rates for HCPCS A4390

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

Rates data updated July 2026.

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

$7.08

Typical negotiated rate. In Rhode Island, July 2026.

Insurers have agreed to pay about $7.08 for this service. The price depends on where it is billed: about $7.08 from a physician practice, and about $23.99 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 4 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$7.08$5.89 to $8.71
FacilityA hospital or hospital-owned outpatient department$23.99$9.12 to $28.18

How much rates vary

Facilitymedian $24 · 10th to 90th $7 to $31Professionalmedian $7 · 10th to 90th $5 to $10
$5.0$10.0$20.0$50.0facility $24professional $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. 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
$5.50
Median
$5.89
Typical High
$10.23
BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$26.92
Typical High
$30.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.08
Typical High
$11.75
Cigna
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$9.12
Typical High
$9.12
Cigna
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$6.92
United
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$6.17
Typical High
$7.08
United
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$7.76
Typical High
$11.22

Where Rhode Island sits

The same service costs 2.2 times more in Hawaii than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Rhode Island $7.08 · 47th of 51
HI $14.79CO $6.76

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.