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Ostomy Pouch, Urinary, Locking Flange

Montana rates for HCPCS A4433

Ostomy pouch, urinary; for use on barrier with locking flange (two piece), each

Rates data updated July 2026.

How much does Ostomy Pouch, Urinary, Locking Flange cost?

$3.98

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $3.98 for this service. The price depends on where it is billed: about $3.98 from a physician practice, and about $4.57 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$3.98$2.19 to $4.57
FacilityA hospital or hospital-owned outpatient department$4.57$3.63 to $4.90

How much rates vary

Facilitymedian $5 · 10th to 90th $3 to $6Professionalmedian $4 · 10th to 90th $2 to $20
$2$5$10$20$50facility $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
$1.29
Median
$3.72
Typical High
$20.42
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$4.57
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$4.90
Typical High
$4.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$4.90
Typical High
$4.90
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$4.57
Typical High
$8.91
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$4.57
Typical High
$8.91
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.29
Median
$4.37
Typical High
$5.62
Providence
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.90
Typical High
$79.43
United
Setting
Facility
Modifier
Global
Typical Low
$1.58
Median
$1.82
Typical High
$1.82
United
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$2.00
Typical High
$2.69

Where Montana 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.

Montana· 10th of 51

$3.98

KS $5.50CO $2.34

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.