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Ostomy Pouch, Urinary, Locking Flange

New York 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?

$3.16

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $3.16 for this service. The price depends on where it is billed: about $3.09 from a physician practice, and about $3.55 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 9 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$3.09$2.45 to $5.13
FacilityA hospital or hospital-owned outpatient department$3.55$2.88 to $4.47

How much rates vary

Facilitymedian $4 · 10th to 90th $2 to $6Professionalmedian $3 · 10th to 90th $2 to $6
$10$100$1K$10Kfacility $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.04
Median
$2.88
Typical High
$5.37
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.95
Median
$2.88
Typical High
$4.47
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.45
Median
$4.17
Typical High
$6.61
CDPHP
Setting
Facility
Modifier
Global
Typical Low
$3.63
Median
$3.89
Typical High
$3.89
CDPHP
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$3.89
Typical High
$3.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$2.95
Typical High
$6.46
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$2.40
Typical High
$3.31
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$7.94
Typical High
$18.20
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$3.09
Median
$4.79
Typical High
$9.12
Excellus BCBS
Setting
Facility
Modifier
Global
Typical Low
$3.55
Median
$3.55
Typical High
$3.72
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$3.55
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$50,118.72
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.57
Typical High
$5.37
United
Setting
Facility
Modifier
Global
Typical Low
$1.62
Median
$2.00
Typical High
$13.18
United
Setting
Professional
Modifier
Global
Typical Low
$1.70
Median
$3.09
Typical High
$7.94
Univera
Setting
Facility
Modifier
Global
Typical Low
$3.31
Median
$3.39
Typical High
$3.72
Univera
Setting
Professional
Modifier
Global
Typical Low
$3.39
Median
$3.39
Typical High
$3.55

Where New York 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.

New York· 24th of 51

$3.16

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.