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.
Original text from hospital filings
Drainable plastic pch w fcpl
Chicago, IL
See all hospitals reporting HCPCS A4375 →Price type
Advocate Trinity Hospital’s median price of $46 is 87% above the median hospital's median price ($25), higher than 91% of the 671 hospitals reporting HCPCS A4375. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 4 payers, 5 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Ambetter medicare advantage case rate · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 2 | Molina medicare advantage case rate · outpatient | $35 | $35 | — | — | — | $35 – $35 |
| 3 | Oscar medicare advantage case rate · outpatient | $36 | $36 | — | — | — | $36 – $36 |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $99 | $99 | $4 | 4% | — | $95 – $103 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $108 | $108 | — | — | — | $108 – $108 |
Last updated: Nov 4, 2025
See Drainable ostomy pouch with attached faceplate pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.