Urinary ostomy pouch, rubber faceplate, each at St Luke's Methodist 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

Urinary rubber pouch w/o fp

Cedar Rapids, IA

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Pricing by billing methodology

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $40 is about the same as the median hospital's median price ($40), higher than 37% of the 666 hospitals reporting HCPCS A4383. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A4383 at St Luke's Methodist Hospital

Negotiated rates from the hospital’s own file: 6 payers, 13 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	UnitedHealthcare hmo fee schedule · both	$20	$20	—	—	—	$20 – $20
2	UnitedHealthcare ppo fee schedule · both	$20	$20	—	—	—	$20 – $20
3	Wellmark commercial fee schedule · both	$35	$35	—	—	—	$35 – $35
4	Wellmark hmo fee schedule · both	$35	$35	—	—	—	$35 – $35
5	Wellmark ppo fee schedule · both	$35	$35	—	—	—	$35 – $35
6	Aetna medicare advantage case rate · outpatient	$40	$40	—	—	—	$40 – $40
7	Molina medicare advantage case rate · outpatient	$40	$40	—	—	—	$40 – $40
8	Wellmark medicare advantage case rate · outpatient	$40	$40	—	—	—	$40 – $40
9	Humana medicare advantage case rate · outpatient	$41	$41	—	—	—	$41 – $41
10	UnitedHealthcare medicare advantage case rate · outpatient	$41	$41	—	—	—	$41 – $41
11	Aetna hmo fee schedule · both	$44	$44	—	—	—	$44 – $44
12	Aetna ppo fee schedule · both	$44	$44	—	—	—	$44 – $44
13	Cigna commercial fee schedule · both	$50	$50	—	—	—	$50 – $50

Last updated: Jan 28, 2026

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