go back

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

Massachusetts 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?

$6.76

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $6.76 for this service. The price depends on where it is billed: about $6.76 from a physician practice, and about $6.46 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 8 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$6.76$3.80 to $6.76
FacilityA hospital or hospital-owned outpatient department$6.46$3.39 to $19.95

How much rates vary

Facilitymedian $6 · 10th to 90th $3 to $79Professionalmedian $7 · 10th to 90th $3 to $10
$10$100$1K$10Kfacility $6professional $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
$3.39
Median
$3.39
Typical High
$3.39
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$4.07
Typical High
$10.72
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.59
Typical High
$79.43
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$6.31
Typical High
$9.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$6.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$5.75
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$3,630.78
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$10.23
Health New England
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$7.59
Typical High
$79.43
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$6.31
Typical High
$9.33
United
Setting
Facility
Modifier
Global
Typical Low
$2.51
Median
$3.47
Typical High
$7.76
United
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$6.46
Typical High
$6.92

Where Massachusetts 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.

Massachusetts· 8th of 51

$6.76

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.