Ostomy skin barrier with flange, extended wear at Shannon River Crest Hospital

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

OSTOMY DURAHESIVE KIT 2 1/4

San Angelo, TX

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How this price compares nationally

Shannon River Crest Hospital’s median price of $21 is 135% above the median hospital's median price ($9), higher than 94% of the 773 hospitals reporting HCPCS A4409. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A4409 at Shannon River Crest Hospital

Negotiated rates from the hospital’s own file: 7 payers, 17 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	Humana medicare advantage facility · case rate · outpatient	$9	$9	—	—	—	$9 – $9
2	Ambetter ppo facility · case rate · outpatient	$19	$19	—	—	—	$19 – $19
3	Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges	$70	$44	$30	68%	—	$5 – $70
4	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$70	$44	$30	68%	—	$5 – $70
5	Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$76	$48	$33	68%	—	$5 – $76
6	Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges	$80	$50	$34	68%	—	$6 – $80
7	Bcbs Tx bav facility · percent of total billed charges · outpatientfrom % of charges	$80	$50	$34	68%	—	$6 – $80
8	Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges	$80	$50	$34	68%	—	$6 – $80
9	Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges	$80	$50	$34	68%	—	$6 – $80
10	Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges	$80	$50	$34	68%	—	$6 – $80
11	Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges	$80	$50	$34	68%	—	$6 – $80
12	First Health ppo facility · percent of total billed charges · inpatientfrom % of charges	$80	$50	$34	68%	—	$6 – $80
13	First Health ppo facility · percent of total billed charges · outpatientfrom % of charges	$80	$50	$34	68%	—	$6 – $80
14	UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges	$83	$52	$35	68%	—	$6 – $83
15	UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges	$83	$52	$35	68%	—	$6 – $83
16	Humana ppo facility · percent of total billed charges · inpatientfrom % of charges	$85	$54	$36	68%	—	$6 – $85
17	Humana ppo facility · percent of total billed charges · outpatientfrom % of charges	$85	$54	$36	68%	—	$6 – $85

Last updated: Dec 8, 2025

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