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Ostomy Pouch, Urinary, One-Piece, Standard Wear, Convex

Illinois rates for HCPCS A4392

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

Rates data updated July 2026.

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

$7.24

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $7.24 for this service. The price depends on where it is billed: about $7.24 from a physician practice, and about $11.75 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$7.24$6.46 to $11.48
FacilityA hospital or hospital-owned outpatient department$11.75$6.46 to $29.51

How much rates vary

Facilitymedian $12 · 10th to 90th $6 to $62Professionalmedian $7 · 10th to 90th $5 to $15
$5$10$20$50$100facility $12professional $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
$6.46
Median
$6.46
Typical High
$11.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.37
Median
$7.08
Typical High
$11.75
BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$30.20
Typical High
$100.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$8.71
Typical High
$8.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$12.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$12.59
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$16.60
Typical High
$21.38
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$14.79
Median
$14.79
Typical High
$14.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
United
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$11.75
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$5.75
Typical High
$10.00

Where Illinois sits

The same service costs 2.0 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.

Illinois· 35th of 51

$7.24

HI $11.75CO $5.75

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.