go back

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

South Carolina 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?

$6.17

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $6.17 for this service. The price depends on where it is billed: about $6.17 from a physician practice, and about $6.17 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 7 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$6.17$4.27 to $6.46
FacilityA hospital or hospital-owned outpatient department$6.17$5.25 to $7.59

How much rates vary

Facilitymedian $6 · 10th to 90th $3 to $10Professionalmedian $6 · 10th to 90th $3 to $7
$2$5$10$20facility $6professional $6

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
$3.47
Median
$6.17
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
$5.01
Median
$7.08
Typical High
$7.76
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.03
Median
$7.76
Typical High
$10.72
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
$10.47
Medcost
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$4.90
Medcost
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$7.08
Typical High
$12.59
Medcost
Setting
Professional
Modifier
Global
Typical Low
$2.09
Median
$2.09
Typical High
$2.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
United
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$3.02
Typical High
$7.76
United
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$3.63
Typical High
$4.90

Where South Carolina 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.

South Carolina· 13th of 51

$6.17

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.