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Ostomy Pouch, Drainable, High Output, Two-Piece, No Filter

Michigan rates for HCPCS A4412

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), without filter, each

Rates data updated October 2026.

How much does Ostomy Pouch, Drainable, High Output, Two-Piece, No Filter cost?

$3.39

Typical negotiated rate. In Michigan, October 2026.

Insurers have agreed to pay about $3.39 for this service. The price depends on where it is billed: about $3.24 from a physician practice, and about $6.17 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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.24$2.75 to $3.80
FacilityA hospital or hospital-owned outpatient department$6.17$2.45 to $11.22

How much rates vary

Facilitymedian $6 · 10th to 90th $2 to $17Professionalmedian $3 · 10th to 90th $2 to $4
$2$5$10$20facility $6professional $3

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
$3.39
Median
$3.39
Typical High
$3.55
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.39
Median
$3.55
Typical High
$3.55
BCBS Michigan
Setting
Facility
Modifier
None
Typical Low
$4.57
Median
$11.22
Typical High
$20.89
BCBS Michigan
Setting
Professional
Modifier
None
Typical Low
$3.63
Median
$3.80
Typical High
$3.80
BCBS Michigan
Setting
Professional
Modifier
RR · Rental
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
CareSource
Setting
Facility
Modifier
None
Typical Low
$2.45
Median
$2.45
Typical High
$2.45
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.29
Median
$2.29
Typical High
$2.45
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.95
Median
$2.45
Typical High
$2.69
Health Alliance Plan
Setting
Facility
Modifier
None
Typical Low
$2.95
Median
$6.17
Typical High
$8.13
Health Alliance Plan
Setting
Professional
Modifier
None
Typical Low
$2.51
Median
$3.02
Typical High
$3.89
Priority Health
Setting
Facility
Modifier
None
Typical Low
$2.29
Median
$2.29
Typical High
$2.45
Priority Health
Setting
Professional
Modifier
None
Typical Low
$2.29
Median
$2.45
Typical High
$2.82
United
Setting
Professional
Modifier
None
Typical Low
$1.35
Median
$1.78
Typical High
$2.51

Where Michigan sits

The same service costs 2.2 times more in Kansas than in Alabama. 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· 11th of 51

$3.39

KS $4.37AL $1.95

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.