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

New York 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?

$7.59

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $7.59 for this service. The price depends on where it is billed: about $7.59 from a physician practice, and about $8.71 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 9 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$7.59$6.03 to $10.23
FacilityA hospital or hospital-owned outpatient department$8.71$7.08 to $10.72

How much rates vary

Facilitymedian $9 · 10th to 90th $5 to $16Professionalmedian $8 · 10th to 90th $5 to $16
$10$100$1K$10Kfacility $9professional $8

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
$5.01
Median
$7.08
Typical High
$13.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$7.08
Typical High
$10.72
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$8.71
Typical High
$16.22
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$9.55
Typical High
$9.55
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$9.55
Median
$9.55
Typical High
$9.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$7.59
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$8.13
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$19.05
Typical High
$44.67
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$11.75
Typical High
$22.39
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$9.12
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.71
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$11.22
Typical High
$13.18
United
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$4.90
Typical High
$32.36
United
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$7.59
Typical High
$19.50
Univera
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.32
Typical High
$9.12
Univera
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.71

Where New York 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.

New York· 28th of 51

$7.59

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.