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Ostomy Pouch, Drainable, High Output, Extended Wear Barrier

Pennsylvania rates for HCPCS A4435

Ostomy pouch, drainable, high output, with extended wear barrier (one-piece system), with or without filter, each

Rates data updated July 2026.

How much does Ostomy Pouch, Drainable, High Output, Extended Wear Barrier cost?

$4.90

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $4.90 for this service. The price depends on where it is billed: about $4.90 from a physician practice, and about $3.98 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$4.90$4.07 to $6.17
FacilityA hospital or hospital-owned outpatient department$3.98$3.98 to $6.31

How much rates vary

Facilitymedian $4 · 10th to 90th $4 to $8Professionalmedian $5 · 10th to 90th $4 to $8
$10$100$1K$10Kfacility $4professional $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
$3.98
Median
$3.98
Typical High
$6.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$4.90
Typical High
$7.59
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
$8.13
Median
$8.13
Typical High
$8.13
Cigna
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$11.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.79
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$10.72
Typical High
$15.49
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$8.13
Typical High
$8.13
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$5.75
Typical High
$8.13
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$3.98
Median
$3.98
Typical High
$6.31
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$4.90
Typical High
$6.61
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$7.59
Typical High
$16.22
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$7.59
Typical High
$7.76
United
Setting
Facility
Modifier
Global
Typical Low
$2.69
Median
$3.39
Typical High
$5.37
United
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$3.98
Typical High
$8.13

Where Pennsylvania sits

The same service costs 2.1 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· 38th of 51

$4.90

KS $8.51CO $4.07

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.