go back

Ostomy Pouch, Drainable, Nonlocking Flange, with Filter

Montana rates for HCPCS A4425

Ostomy pouch, drainable; for use on barrier with nonlocking flange, with filter (two-piece system), each

Rates data updated July 2026.

How much does Ostomy Pouch, Drainable, Nonlocking Flange, with Filter cost?

$4.90

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $4.90 for this service. The price depends on where it is billed: about $4.27 from a physician practice, and about $4.90 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 6 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$4.27$2.45 to $4.90
FacilityA hospital or hospital-owned outpatient department$4.90$4.17 to $4.90

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $6Professionalmedian $4 · 10th to 90th $2 to $22
$2.0$5.0$10.0$20.0$50.0facility $5professional $4

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
Professional
Modifier
Global
Typical Low
$1.38
Median
$3.98
Typical High
$21.88
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$4.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$4.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$5.25
Typical High
$5.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.57
Median
$5.25
Typical High
$5.25
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3.89
Median
$4.90
Typical High
$9.55
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.90
Typical High
$9.55
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.45
Median
$4.68
Typical High
$6.03
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.72
Median
$5.25
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$1.70
Median
$1.95
Typical High
$1.95
United
Setting
Professional
Modifier
Global
Typical Low
$1.91
Median
$2.14
Typical High
$2.88

Where Montana sits

The same service costs 2.5 times more in Kansas than in Colorado. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Montana $4.90 · 5th of 51
KS $6.03CO $2.45

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.