go back

Ostomy Pouch, Drainable, Locking Flange, with Filter

South Dakota rates for HCPCS A4427

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

Rates data updated July 2026.

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

$3.63

Typical negotiated rate. In South Dakota, July 2026.

Insurers have agreed to pay about $3.63 for this service. The price depends on where it is billed: about $3.39 from a physician practice, and about $4.07 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 8 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$3.39$2.69 to $4.47
FacilityA hospital or hospital-owned outpatient department$4.07$2.82 to $4.47

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $5Professionalmedian $3 · 10th to 90th $3 to $6
$1$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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.69
Typical High
$5.25
Avera
Setting
Professional
Modifier
Global
Typical Low
$4.17
Median
$4.17
Typical High
$4.27
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.34
Median
$2.34
Typical High
$4.37
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$4.47
Typical High
$5.62
Medica
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$4.27
Typical High
$7.24
Medica
Setting
Professional
Modifier
Global
Typical Low
$1.55
Median
$2.45
Typical High
$19.50
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$4.27
Typical High
$4.27
Midlands
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$6.92
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$3.24
Median
$3.89
Typical High
$5.13
United
Setting
Facility
Modifier
Global
Typical Low
$1.51
Median
$1.82
Typical High
$2.75
United
Setting
Professional
Modifier
Global
Typical Low
$1.29
Median
$2.57
Typical High
$4.57
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$3.16
Median
$3.16
Typical High
$3.16

Where South Dakota sits

The same service costs 2.3 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.

South Dakota· 5th of 51

$3.63

KS $4.47CO $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.