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Ostomy Pouch, Urinary, One-Piece, Extended Wear

Tennessee rates for HCPCS A4391

Ostomy pouch, urinary, with extended wear barrier attached (one piece), each

Rates data updated July 2026.

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

$6.17

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $6.17 for this service. The price depends on where it is billed: about $6.17 from a physician practice, and about $8.91 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 5 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$6.17$5.13 to $7.59
FacilityA hospital or hospital-owned outpatient department$8.91$5.75 to $79.43

How much rates vary

Facilitymedian $9 · 10th to 90th $4 to $85Professionalmedian $6 · 10th to 90th $4 to $9
$5$10$20$50facility $9professional $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
$5.13
Median
$5.75
Typical High
$8.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$6.31
Typical High
$8.71
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$8.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$6.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.89
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$74.13
Typical High
$74.13
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$4.47
Typical High
$10.00
United
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$4.57
Typical High
$5.75

Where Tennessee 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.

Tennessee· 35th of 51

$6.17

HI $10.96CO $4.90

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.