go back

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

Minnesota 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?

$3.47

Typical negotiated rate. In Minnesota, October 2026.

Insurers have agreed to pay about $3.47 for this service. The price depends on where it is billed: about $3.47 from a physician practice, and about $3.98 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 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$3.47$2.69 to $4.47
FacilityA hospital or hospital-owned outpatient department$3.98$2.82 to $11.48

How much rates vary

Facilitymedian $4 · 10th to 90th $3 to $34Professionalmedian $3 · 10th to 90th $2 to $6
$1$2$5$10$20$50facility $4professional $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
$2.82
Median
$2.82
Typical High
$2.82
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.69
Median
$2.82
Typical High
$2.82
BCBS Minnesota
Setting
Facility
Modifier
None
Typical Low
$3.55
Median
$4.68
Typical High
$6.46
BCBS Minnesota
Setting
Professional
Modifier
None
Typical Low
$3.09
Median
$3.89
Typical High
$3.89
Cigna
Setting
Facility
Modifier
None
Typical Low
$2.29
Median
$13.49
Typical High
$33.88
Cigna
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$4.79
Typical High
$5.75
Health Partners
Setting
Facility
Modifier
None
Typical Low
$8.51
Median
$13.49
Typical High
$31.62
Health Partners
Setting
Professional
Modifier
None
Typical Low
$4.47
Median
$4.47
Typical High
$4.47
Medica
Setting
Facility
Modifier
None
Typical Low
$1.62
Median
$3.98
Typical High
$79.43
Medica
Setting
Professional
Modifier
None
Typical Low
$1.51
Median
$1.78
Typical High
$6.92
United
Setting
Professional
Modifier
None
Typical Low
$1.26
Median
$1.78
Typical High
$3.24

Where Minnesota 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.

Minnesota· 10th of 51

$3.47

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.