Drainable colostomy pouch with convex barrier at AMH Cath Labs LLC

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

POUCH DRAIN POST OP 3/4"X1.5"

Arlington, TX

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How this price compares nationally

AMH Cath Labs LLC’s median price of $27 is 99% above the median hospital's median price ($14), higher than 92% of the 689 hospitals reporting HCPCS A4390. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A4390 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 31 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	Blue Cross Blue Shield managed medicaid percent of total billed charges · outpatientfrom % of charges	$5	$5	—	—	—	$5 – $5
2	UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges	$5	$5	—	—	—	$5 – $5
3	WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges	$5	$5	—	—	—	$5 – $5
4	Molina managed medicaid percent of total billed charges · outpatientfrom % of charges	$5	$5	—	—	—	$5 – $5
5	Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges	$5	$5	—	—	—	$5 – $5
6	Blue Cross Blue Shield medicare advantage case rate · outpatient	$14	$14	—	—	—	$14 – $14
7	Humana medicare advantage case rate · outpatient	$14	$14	—	—	—	$14 – $14
8	Humana medicare advantage ppo case rate · outpatient	$14	$14	—	—	—	$14 – $14
9	Molina medicare advantage case rate · outpatient	$14	$14	—	—	—	$14 – $14
10	WellCare medicare advantage hmo case rate · outpatient	$14	$14	—	—	—	$14 – $14
11	WellCare medicare advantage mmp case rate · outpatient	$15	$15	—	—	—	$15 – $15
12	UnitedHealthcare medicare advantage ppo case rate · outpatient	$15	$15	—	—	—	$15 – $15
13	UnitedHealthcare medicare advantage hmo case rate · outpatient	$15	$15	—	—	—	$15 – $15
14	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$16	$16	—	—	—	$16 – $16
15	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$22	$22	—	—	—	$22 – $22
16	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$26	$26	—	—	—	$26 – $26
17	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
18	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
19	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
20	Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges	$29	$29	—	—	—	$29 – $29
21	UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges	$33	$33	—	—	—	$33 – $33
22	UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges	$35	$35	—	—	—	$35 – $35
23	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$36	$36	—	—	—	$36 – $36
24	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$36	$36	—	—	—	$36 – $36
25	Aetna asa percent of total billed charges · outpatientfrom % of charges	$37	$37	—	—	—	$37 – $37

Page 1 of 2 · 31 rates

Last updated: Apr 21, 2026

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