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

Tennessee 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 Tennessee, 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 $10.23 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$7.08$5.89 to $8.71
FacilityA hospital or hospital-owned outpatient department$10.23$6.61 to $79.43

How much rates vary

Facilitymedian $10 · 10th to 90th $4 to $85Professionalmedian $7 · 10th to 90th $5 to $10
$5$10$20$50facility $10professional $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
$5.89
Median
$6.61
Typical High
$10.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$7.24
Typical High
$10.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$9.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$7.94
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.89
Median
$5.89
Typical High
$6.92
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
$57.54
Median
$85.11
Typical High
$85.11
United
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$5.25
Typical High
$11.75
United
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$5.37
Typical High
$6.76

Where Tennessee 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.

Tennessee· 36th 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.