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
POUCH OST HI-OUTPUT 2PC 2.75"
Arlington, TX
See all hospitals reporting HCPCS A4412 →Price type
AMH Cath Labs LLC’s median price of $2 is 49% below the median hospital's median price ($4), higher than 4% of the 679 hospitals reporting HCPCS A4412. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $0 | $0 | — | — | — | $0 – $0 |
| 2 | UnitedHealthcare managed medicaid percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 3 | Molina managed medicaid percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 4 | WellCare managed medicaid percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 5 | Aetna managed medicaid percent of total billed charges · outpatientfrom % of charges | $0 | $0 | — | — | — | $0 – $0 |
| 6 | Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 7 | Aetna whole health percent of total billed charges · outpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 8 | Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges | $1 | $1 | — | — | — | $1 – $1 |
| 9 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 10 | Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 11 | Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 12 | Blue Cross Blue Shield traditional percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 13 | UnitedHealthcare all payer percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 14 | UnitedHealthcare ppo percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 15 | Phcs ppo percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 16 | Cigna ppo percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 17 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 18 | Aetna coventry percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 19 | Phcs ppo percent of total billed charges · inpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 20 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 21 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 22 | Cigna indemnity percent of total billed charges · inpatientfrom % of charges | $3 | $3 | — | — | — | $3 – $3 |
| 23 | Cigna indemnity percent of total billed charges · outpatientfrom % of charges | $3 | $3 | — | — | — | $3 – $3 |
| 24 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
| 25 | Humana medicare advantage case rate · outpatient | $4 | $4 | — | — | — | $4 – $4 |
Last updated: Apr 21, 2026
See Drainable ostomy pouch for high output, two-piece system pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.