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Ostomy Irrigation Set

Pennsylvania rates for HCPCS A4400

Ostomy irrigation set

Rates data updated October 2026.

How much does Ostomy Irrigation Set cost?

$41.69

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $41.69 for this service. The price depends on where it is billed: about $41.69 from a physician practice, and about $43.65 from a hospital or other facility.

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.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$41.69$34.67 to $64.57
FacilityA hospital or hospital-owned outpatient department$43.65$40.74 to $251

How much rates vary

Facilitymedian $44 · 10th to 90th $41 to $457Professionalmedian $42 · 10th to 90th $33 to $68
$100$1K$10Kfacility $44professional $42

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$41.69
Aetna
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$41.69
Typical High
$41.69
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$5.01
Median
$6.31
Typical High
$6.31
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.39
Median
$4.17
Typical High
$4.17
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$67.61
Typical High
$67.61
Cigna
Setting
Facility
Modifier
None
Typical Low
$40.74
Median
$40.74
Typical High
$40.74
Cigna
Setting
Professional
Modifier
None
Typical Low
$34.67
Median
$34.67
Typical High
$323.59
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$41.69
Median
$85.11
Typical High
$100.00
Geisinger
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$69.18
Typical High
$69.18
Geisinger
Setting
Professional
Modifier
None
Typical Low
$33.88
Median
$41.69
Typical High
$69.18
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$33.11
Median
$33.11
Typical High
$33.11
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$33.11
Median
$41.69
Typical High
$41.69
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$5.01
Median
$6.31
Typical High
$6.31
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$3.39
Median
$4.17
Typical High
$4.17
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$97.72
Typical High
$102.33
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$48.98
Median
$223.87
Typical High
$380.19
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$48.98
Median
$48.98
Typical High
$64.57
United
Setting
Professional
Modifier
None
Typical Low
$26.30
Median
$33.88
Typical High
$56.23

Where Pennsylvania sits

The same service costs 3.0 times more in Hawaii than in Rhode Island. 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· 25th of 51

$41.69

HI $91.20RI $30.20

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.