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Ostomy Pouch, Closed, One-Piece, with Filter

Tennessee 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?

$2.40

Typical negotiated rate. In Tennessee, July 2026.

Insurers have agreed to pay about $2.40 for this service. The price depends on where it is billed: about $2.40 from a physician practice, and about $3.47 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$2.40$2.00 to $2.95
FacilityA hospital or hospital-owned outpatient department$3.47$2.24 to $79.43

How much rates vary

Facilitymedian $3 · 10th to 90th $2 to $85Professionalmedian $2 · 10th to 90th $2 to $3
$1$2$5$10$20$50facility $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
$2.00
Median
$2.24
Typical High
$3.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$2.45
Typical High
$3.39
BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$3.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$2.29
Typical High
$2.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$1.95
Typical High
$2.29
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$28.84
Typical High
$28.84
United
Setting
Facility
Modifier
Global
Typical Low
$1.48
Median
$1.74
Typical High
$3.89
United
Setting
Professional
Modifier
Global
Typical Low
$1.23
Median
$1.78
Typical High
$2.24

Where Tennessee 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.

Tennessee· 36th of 51

$2.40

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.