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
Ost pch w bar/bltinconv/fltr
Cedar Rapids, IA
See all hospitals reporting HCPCS A4417 →Price type
St Luke's Methodist Hospital’s median price of $5 is 1% below the median hospital's median price ($5), higher than 36% of the 667 hospitals reporting HCPCS A4417. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
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 | $3 | $3 | — | — | — | $3 – $3 |
| 2 | UnitedHealthcare ppo fee schedule · both | $3 | $3 | — | — | — | $3 – $3 |
| 3 | Wellmark commercial fee schedule · both | $5 | $5 | — | — | — | $5 – $5 |
| 4 | Wellmark hmo fee schedule · both | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Wellmark ppo fee schedule · both | $5 | $5 | — | — | — | $5 – $5 |
| 6 | Aetna medicare advantage case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 7 | Molina medicare advantage case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 8 | Wellmark medicare advantage case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 9 | Humana medicare advantage case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 10 | UnitedHealthcare medicare advantage case rate · outpatient | $5 | $5 | — | — | — | $5 – $5 |
| 11 | Aetna hmo fee schedule · both | $6 | $6 | — | — | — | $6 – $6 |
| 12 | Aetna ppo fee schedule · both | $6 | $6 | — | — | — | $6 – $6 |
| 13 | Cigna commercial fee schedule · both | $7 | $7 | — | — | — | $7 – $7 |
Last updated: Jan 28, 2026
See Closed ostomy pouch with built-in filter and convex barrier pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.