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
Peristomal hernia supprt blt
Peoria, IL
See all hospitals reporting HCPCS A4396 →Price type
Proctor Community Hospital’s median price of $58 is about the same as the median hospital's median price ($58), higher than 37% of the 658 hospitals reporting HCPCS A4396. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 7 payers, 11 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 Better Health medicare-medicaid (d-snp) fee schedule · inpatient | $27.17 | $27.17 | $27.17 – $27.17 |
| 2 | Aetna Better Health medicare-medicaid (d-snp) fee schedule · outpatient | $27.17 | $27.17 | $27.17 – $27.17 |
| 3 | Aetna medicare advantage case rate · outpatient | $57.69 | $57.69 | $57.69 – $57.69 |
| 4 | Blue Cross Blue Shield medicare advantage case rate · outpatient | $57.69 | $57.69 | $57.69 – $57.69 |
| 5 | Humana medicare advantage case rate · outpatient | $57.69 | $57.69 | $57.69 – $57.69 |
| 6 | Humana medicare-medicaid (d-snp) fee schedule · outpatient | $57.69 | $57.69 | $57.69 – $57.69 |
| 7 | Molina medicare-medicaid (mmai/dual) case rate · outpatient | $57.69 | $57.69 | $57.69 – $57.69 |
| 8 | UnitedHealthcare medicare advantage case rate · outpatient | $57.69 | $57.69 | $57.69 – $57.69 |
| 9 | UnitedHealthcare va ccn case rate · outpatient | $57.69 | $57.69 | $57.69 – $57.69 |
| 10 | WellCare medicare advantage hmo case rate · outpatient | $57.69 | $57.69 | $57.69 – $57.69 |
| 11 | UnitedHealthcare ppo fee schedule · outpatient | $66.28 | $66.28 | $66.28 – $66.28 |
Last updated: Apr 15, 2026
See Ostomy belt for peristomal hernia support pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.