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Ostomy Pouch, Drainable, High Output, Two-Piece, with Filter

Arkansas rates for HCPCS A4413

Ostomy pouch, drainable, high output, for use on a barrier with flange (two-piece system), with filter, each

Rates data updated July 2026.

How much does Ostomy Pouch, Drainable, High Output, Two-Piece, with Filter cost?

$5.75

Typical negotiated rate. In Arkansas, July 2026.

Insurers have agreed to pay about $5.75 for this service. The price depends on where it is billed: about $4.57 from a physician practice, and about $398,107 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 6 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$4.57$3.80 to $6.17
FacilityA hospital or hospital-owned outpatient department$398,107$151,356 to $794,328

How much rates vary

Facilitymedian $398,107 · 10th to 90th $6 to $933,254Professionalmedian $5 · 10th to 90th $2 to $7
$10$100$1K$10K$100K$1Mfacility $398,107professional $5

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
$6.17
Median
$6.17
Typical High
$6.17
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$5.75
Typical High
$6.76
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$4.90
BCBS
Setting
Facility
Modifier
Global
Typical Low
$218,776.16
Median
$524,807.46
Typical High
$954,992.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$4.57
Typical High
$8.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.89
Typical High
$5.50
Qualchoice
Setting
Professional
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
United
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$3.24
Typical High
$4.90
United
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$3.47
Typical High
$5.01

Where Arkansas sits

The same service costs 2.2 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.

Arkansas· 18th of 51

$5.75

HI $7.76CO $3.47

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.