Urinary ostomy pouch with barrier, one-piece 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 pouch w st wear barr

Cedar Rapids, IA

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How this price compares nationally

St Luke's Methodist Hospital’s median price of $12 is about the same as the median hospital's median price ($12), higher than 36% of the 668 hospitals reporting HCPCS A4392. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A4392 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	$6	$6	—	—	—	$6 – $6
2	UnitedHealthcare ppo fee schedule · both	$6	$6	—	—	—	$6 – $6
3	Wellmark commercial fee schedule · both	$10	$10	—	—	—	$10 – $10
4	Wellmark hmo fee schedule · both	$10	$10	—	—	—	$10 – $10
5	Wellmark ppo fee schedule · both	$10	$10	—	—	—	$10 – $10
6	Aetna medicare advantage case rate · outpatient	$12	$12	—	—	—	$12 – $12
7	Molina medicare advantage case rate · outpatient	$12	$12	—	—	—	$12 – $12
8	Wellmark medicare advantage case rate · outpatient	$12	$12	—	—	—	$12 – $12
9	Humana medicare advantage case rate · outpatient	$12	$12	—	—	—	$12 – $12
10	UnitedHealthcare medicare advantage case rate · outpatient	$12	$12	—	—	—	$12 – $12
11	Aetna hmo fee schedule · both	$13	$13	—	—	—	$13 – $13
12	Aetna ppo fee schedule · both	$13	$13	—	—	—	$13 – $13
13	Cigna commercial fee schedule · both	$15	$15	—	—	—	$15 – $15

Last updated: Jan 28, 2026

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