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
Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each
SUMMERFIELD, FL
See all hospitals reporting HCPCS A4428 →Price type
Hca Florida Ocala Hospital’s median price of $9 is 1% above the median hospital's median price ($9), higher than 56% of the 702 hospitals reporting HCPCS A4428. 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, 19 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 | Aetna qhp percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 2 | UnitedHealthcare optionsppo percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 3 | Aetna hmo percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 4 | Aetna ppo percent of total billed charges · outpatientfrom % of charges | $2 | $2 | — | — | — | $2 – $2 |
| 5 | Aetna asa percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
| 6 | Molina hix percent of total billed charges · outpatientfrom % of charges | $4 | $4 | — | — | — | $4 – $4 |
| 7 | UnitedHealthcare globalbenefitplan percent of total billed charges · outpatientfrom % of charges | $5 | $5 | — | — | — | $5 – $5 |
| 8 | Humana tricare fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 9 | Devoted mcr fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 10 | Humana mgmcrhmo fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 11 | Humana mgmcrppo fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 12 | UnitedHealthcare vaccn fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 13 | MultiPlan primary percent of total billed charges · outpatientfrom % of charges | $9 | $9 | — | — | — | $9 – $9 |
| 14 | Blue Cross Blue Shield mcrhmo fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 15 | Blue Cross Blue Shield mcrppo fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 16 | UnitedHealthcare mcr fee schedule · outpatient | $9 | $9 | — | — | — | $9 – $9 |
| 17 | WellCare mcr fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 18 | Cigna Healthspring mcr fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
| 19 | Aetna mcr fee schedule · outpatient | $10 | $10 | — | — | — | $10 – $10 |
Last updated: Mar 1, 2026
See Urinary ostomy pouch with extended-wear barrier and drain valve pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.