go back

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

Michigan 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?

$8.71

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $8.71 for this service. The price depends on where it is billed: about $8.71 from a physician practice, and about $12.02 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$8.71$5.89 to $11.48
FacilityA hospital or hospital-owned outpatient department$12.02$8.71 to $34.67

How much rates vary

Facilitymedian $12 · 10th to 90th $5 to $52Professionalmedian $9 · 10th to 90th $5 to $11
$0.1$1$10$100facility $12professional $9

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
$8.71
Median
$8.71
Typical High
$8.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$7.24
Typical High
$9.77
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
BCBS
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$34.67
Typical High
$66.07
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.75
CareSource
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.41
Typical High
$7.41
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$7.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$7.59
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$9.33
Typical High
$23.99
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$9.12
Typical High
$14.13
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$9.33
United
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$4.47
Typical High
$7.24
United
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$5.37
Typical High
$8.13

Where Michigan 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.

Michigan· 18th of 51

$8.71

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.