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
Worthington, MN
See all hospitals reporting HCPCS A4396 →Price type
Sanford Worthington Medical Center’s median price of $58 is about the same as the median hospital's median price ($58), higher than 51% 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: 5 payers, 7 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 | Bcbs Mn commercial/federal fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 2 | Bcbs Mn pmap fee schedule · outpatient | $1.00 | $1.00 | $1.00 – $1.00 |
| 3 | Sanford Health Plan medicare replacement case rate · outpatient | $53.73 | $53.73 | $53.73 – $53.73 |
| 4 | Ucare medicare replacement case rate · outpatient | $57.69 | $57.69 | $57.69 – $57.69 |
| 5 | Aetna medicare replacement case rate · outpatient | $58.26 | $58.26 | $58.26 – $58.26 |
| 6 | Bcbs Mn medicare replacement case rate · outpatient | $58.26 | $58.26 | $58.26 – $58.26 |
| 7 | UnitedHealthcare medicare replacement case rate · outpatient | $58.26 | $58.26 | $58.26 – $58.26 |
Last updated: Mar 4, 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.