Drainable ostomy pouch with rubber faceplate

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

Drainable rubber pch w/o fp

Payers reporting HCPCS A4378

Payer pricing summary

Low

$11

Average

$77

Median

$46

High

$556

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +8 other terms	299	$44	$67	$70	105%	—	$20 – $337
2	UnitedHealthcare fee schedule · outpatient · +11 other terms	288	$44	$42	$6	13%	—	$18 – $50
3	Aetna fee schedule · outpatient · +9 other terms	265	$44	$48	$23	48%	—	$19 – $265
4	WellCare fee schedule · outpatient · +5 other terms	184	$45	$47	$8	16%	—	$43 – $85
5	Blue Cross Blue Shield fee schedule · outpatient · +8 other terms	181	$45	$54	$28	51%	—	$0 – $199
6	Devoted fee schedule · outpatient · +2 other terms	163	$44	$44	$1	2%	—	$42 – $46
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$45	$45	$1	3%	—	$44 – $47
8	Molina fee schedule · outpatient · +4 other terms	96	$59	$60	$23	39%	—	$37 – $115
9	Cigna fee schedule · outpatient · +8 other terms	77	$45	$48	$12	24%	—	$42 – $110
10	Anthem fee schedule · outpatient · +6 other terms	73	$43	$44	$3	8%	—	$42 – $71
11	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$46	$46	$0	0%	—	$43 – $46
12	Kaiser fee schedule · outpatient · +4 other terms	39	$43	$43	$1	2%	—	$42 – $45
13	Clover fee schedule · outpatient · +1 other terms	37	$44	$44	$1	3%	—	$43 – $46
14	Bcbs Tx fee schedule · outpatient	31	$40	$41	$12	29%	—	$30 – $150
15	Optum fee schedule · outpatient · +2 other terms	25	$44	$51	$21	42%	—	$42 – $110
16	Oscar fee schedule · outpatient · +3 other terms	24	$43	$44	$2	3%	—	$43 – $46
17	Caresource facility · case rate · outpatient · +5 other terms	20	$37	$46	$19	42%	—	$23 – $88
18	Medicare fee schedule · outpatient	18	$42	$42	$0	1%	—	$42 – $43
19	Amerihealth Caritas fee schedule · outpatient · +2 other terms	16	$53	$52	$1	2%	—	$50 – $53
20	Wellmark fee schedule · both · +1 other terms	13	$39	$38	$1	3%	—	$31 – $39
21	Aetna Better Health fee schedule · outpatient · +2 other terms	12	$21	$30	$11	37%	—	$21 – $43
22	Ambetter case rate · outpatient · +5 other terms	12	$62	$64	$3	4%	—	$62 – $69
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$37	$24	$20	85%	—	$0 – $47
24	Bcbs Nj fee schedule · outpatient	12	$43	$93	$63	68%	—	$43 – $190
25	Highmark fee schedule · outpatient · +4 other terms	10	$45	$47	$17	36%	—	$20 – $103

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