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Ostomy Pouch, Closed, One-Piece, with Filter

Ohio 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?

$2.45

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $2.45 for this service. The price depends on where it is billed: about $2.40 from a physician practice, and about $2.69 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 9 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$2.40$1.95 to $2.95
FacilityA hospital or hospital-owned outpatient department$2.69$2.45 to $3.89

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $4Professionalmedian $2 · 10th to 90th $2 to $4
$1$2$5$10facility $3professional $2

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
$2.45
Median
$3.24
Typical High
$4.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$2.45
Typical High
$3.31
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.16
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.34
Typical High
$5.13
CareSource
Setting
Facility
Modifier
Global
Typical Low
$1.95
Median
$3.24
Typical High
$4.57
CareSource
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$3.47
Typical High
$5.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.51
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$2.45
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.45
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$2.29
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$2.19
Typical High
$3.16
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.37
Typical High
$8.13
United
Setting
Facility
Modifier
Global
Typical Low
$1.23
Median
$1.86
Typical High
$3.89
United
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.82
Typical High
$2.69

Where Ohio 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.

Ohio· 32nd of 51

$2.45

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.