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 rubber pch w fcplt
Chicago, IL
See all hospitals reporting HCPCS A4376 →Price type
Advocate Trinity Hospital’s median price of $128 is 87% above the median hospital's median price ($68), higher than 91% of the 667 hospitals reporting HCPCS A4376. 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.
Filter by billing methodology
Filter by billing class
| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Ambetter medicare advantage case rate · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 2 | Molina medicare advantage case rate · outpatient | $96 | $96 | — | — | — | $96 – $96 |
| 3 | Oscar medicare advantage case rate · outpatient | $100 | $100 | — | — | — | $100 – $100 |
| 4 | Blue Cross Blue Shield commercial fee schedule · outpatient | $279 | $279 | $11 | 4% | — | $268 – $290 |
| 5 | Blue Cross Blue Shield ppo fee schedule · outpatient | $306 | $306 | — | — | — | $306 – $306 |
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.