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

North Dakota 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?

$7.08

Typical negotiated rate. In North Dakota, July 2026.

Insurers have agreed to pay about $7.08 for this service. The price depends on where it is billed: about $7.24 from a physician practice, and about $5.62 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 5 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$7.24$5.62 to $8.51
FacilityA hospital or hospital-owned outpatient department$5.62$4.90 to $5.62

How much rates vary

Facilitymedian $6 · 10th to 90th $5 to $10Professionalmedian $7 · 10th to 90th $3 to $9
$2$5$10$20$50facility $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
$4.90
Median
$5.62
Typical High
$5.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$4.90
Typical High
$29.51
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$8.51
Typical High
$9.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.91
Typical High
$11.22
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.72
Median
$6.61
Typical High
$79.43
Medica
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$3.55
Typical High
$7.76
United
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$3.47
United
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$4.68
Typical High
$9.12

Where North Dakota 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.

North Dakota· 5th of 51

$7.08

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.