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Ostomy Pouch, Closed, One-Piece, with Filter

Illinois rates for HCPCS A4416

Ostomy pouch, closed, with barrier attached, with filter (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Closed, One-Piece, with Filter cost?

$2.57

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $2.57 for this service. The price depends on where it is billed: about $2.57 from a physician practice, and about $3.89 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$2.57$2.14 to $3.24
FacilityA hospital or hospital-owned outpatient department$3.89$2.14 to $10.72

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $20Professionalmedian $3 · 10th to 90th $2 to $4
$2$5$10$20$50facility $4professional $3

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
$2.14
Median
$2.14
Typical High
$3.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$2.40
Typical High
$3.89
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$2.19
Median
$2.19
Typical High
$2.19
BCBS
Setting
Facility
Modifier
Global
Typical Low
$6.31
Median
$10.96
Typical High
$33.11
BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$2.95
Typical High
$2.95
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$4.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$4.27
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.37
Typical High
$9.33
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$3.24
United
Setting
Facility
Modifier
Global
Typical Low
$1.23
Median
$3.89
Typical High
$3.89
United
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$1.91
Typical High
$3.39

Where Illinois sits

The same service costs 2.1 times more in Kansas 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.

Illinois· 28th of 51

$2.57

KS $3.98CO $1.91

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.