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

Pennsylvania 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?

$7.08

Typical negotiated rate. In Pennsylvania, 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 $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 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$7.08$5.89 to $8.71
FacilityA hospital or hospital-owned outpatient department$8.91$5.62 to $42.66

How much rates vary

Facilitymedian $9 · 10th to 90th $6 to $60Professionalmedian $7 · 10th to 90th $5 to $11
$10$100$1K$10Kfacility $9professional $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
$5.62
Median
$5.62
Typical High
$8.91
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.08
Typical High
$10.72
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$11.48
Typical High
$11.48
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$7.08
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$12.88
Typical High
$22.39
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$8.13
Typical High
$11.75
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$8.91
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$7.08
Typical High
$9.55
Oscar Health
Setting
Facility
Modifier
Global
Typical Low
$6.03
Median
$6.03
Typical High
$6.03
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$10.47
Median
$10.47
Typical High
$10.47
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$20.42
Median
$42.66
Typical High
$66.07
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.96
Typical High
$10.96
United
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$5.25
Typical High
$7.24
United
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$5.75
Typical High
$12.30

Where Pennsylvania 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.

Pennsylvania· 40th of 51

$7.08

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.