Urinary ostomy pouch for faceplate, heavy plastic

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

Urinary hvy plstc pch w/o fp

Payers reporting HCPCS A4382

Payer pricing summary

Low

Average

$40

Median

$35

High

$120

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +8 other terms	299	$35	$53	$56	105%	—	$16 – $270
2	UnitedHealthcare fee schedule · outpatient · +9 other terms	288	$35	$34	$5	15%	—	$4 – $40
3	Aetna fee schedule · outpatient · +7 other terms	265	$35	$38	$18	48%	—	$16 – $212
4	WellCare fee schedule · outpatient · +4 other terms	184	$36	$37	$6	16%	—	$34 – $68
5	Blue Cross Blue Shield fee schedule · outpatient · +6 other terms	181	$36	$43	$22	52%	—	$0 – $161
6	Devoted fee schedule · outpatient · +2 other terms	163	$35	$35	$1	2%	—	$34 – $37
7	Cigna Healthspring fee schedule · outpatient · +1 other terms	116	$36	$36	$1	3%	—	$35 – $38
8	Molina fee schedule · outpatient · +4 other terms	96	$47	$48	$19	39%	—	$29 – $92
9	Cigna fee schedule · outpatient · +5 other terms	77	$36	$39	$9	24%	—	$34 – $88
10	Anthem fee schedule · outpatient · +6 other terms	73	$34	$35	$3	8%	—	$34 – $57
11	Superior Healthplan fee schedule · outpatient	40	$37	$37	$0	0%	—	$34 – $37
12	Kaiser fee schedule · outpatient · +4 other terms	39	$34	$35	$1	2%	—	$34 – $36
13	Clover fee schedule · outpatient · +1 other terms	37	$35	$36	$1	3%	—	$34 – $37
14	Bcbs Tx fee schedule · outpatient	31	$32	$33	$10	29%	—	$24 – $120
15	Optum fee schedule · outpatient · +1 other terms	25	$35	$41	$17	42%	—	$34 – $88
16	Oscar fee schedule · outpatient · +2 other terms	24	$34	$35	$1	3%	—	$34 – $37
17	Caresource facility · case rate · outpatient · +4 other terms	20	$11	$24	$22	92%	—	$7 – $70
18	Medicare fee schedule · outpatient	18	$34	$34	$0	1%	—	$34 – $34
19	Amerihealth Caritas fee schedule · outpatient · +1 other terms	16	$42	$42	$1	2%	—	$40 – $42
20	Wellmark fee schedule · both · +1 other terms	13	$31	$31	$1	3%	—	$25 – $31
21	Aetna Better Health fee schedule · outpatient · +2 other terms	12	$17	$24	$9	37%	—	$17 – $34
22	Ambetter case rate · outpatient · +5 other terms	12	$50	$51	$2	4%	—	$50 – $55
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$30	$19	$16	85%	—	$0 – $37
24	Bcbs Nj fee schedule · outpatient	12	$34	$74	$50	68%	—	$34 – $152
25	Highmark fee schedule · outpatient · +4 other terms	10	$36	$37	$13	36%	—	$16 – $82

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