go back

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

New Jersey 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?

$4.68

Typical negotiated rate. In New Jersey, July 2026.

Insurers have agreed to pay about $4.68 for this service. The price depends on where it is billed: about $4.68 from a physician practice, and about $3.80 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$4.68$3.47 to $5.13
FacilityA hospital or hospital-owned outpatient department$3.80$3.80 to $4.57

How much rates vary

Facilitymedian $4 · 10th to 90th $3 to $8Professionalmedian $5 · 10th to 90th $2 to $7
$0.1$0.5$2$10facility $4professional $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
$3.80
Median
$3.80
Typical High
$3.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.24
Median
$3.80
Typical High
$6.76
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$5.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$4.57
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$7.08
Typical High
$10.23
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.13
Median
$5.13
Typical High
$5.13
United
Setting
Facility
Modifier
Global
Typical Low
$2.57
Median
$3.63
Typical High
$7.76
United
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.37
Typical High
$7.76

Where New Jersey 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.

New Jersey· 40th of 51

$4.68

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.