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Ostomy Pouch, Urinary, Barrier Attached, Faucet Tap

Pennsylvania rates for HCPCS A4431

Ostomy pouch, urinary; with barrier attached, with faucet-type tap with valve (one piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Urinary, Barrier Attached, Faucet Tap cost?

$5.37

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $5.37 for this service. The price depends on where it is billed: about $5.37 from a physician practice, and about $6.76 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$5.37$4.68 to $6.61
FacilityA hospital or hospital-owned outpatient department$6.76$4.27 to $31.62

How much rates vary

Facilitymedian $7 · 10th to 90th $4 to $47Professionalmedian $5 · 10th to 90th $4 to $9
$10$100$1K$10Kfacility $7professional $5

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
$4.27
Median
$4.27
Typical High
$6.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$5.37
Typical High
$8.13
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.62
Median
$5.62
Typical High
$12.02
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$5.62
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$9.77
Typical High
$16.98
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$8.91
Median
$8.91
Typical High
$8.91
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$6.17
Typical High
$8.91
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$4.27
Median
$4.27
Typical High
$6.76
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$4.27
Median
$5.37
Typical High
$7.24
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$14.45
Median
$31.62
Typical High
$50.12
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$8.32
Typical High
$8.32
United
Setting
Facility
Modifier
Global
Typical Low
$2.95
Median
$3.98
Typical High
$5.50
United
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$4.37
Typical High
$8.91

Where Pennsylvania sits

The same service costs 2.2 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.

Pennsylvania· 40th of 51

$5.37

KS $9.55CO $4.37

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.