Hydrophilic-coated intermittent urinary catheter kit

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

Intermittent urinary catheter; hydrophilic coating, with insertion supplies

Payers reporting HCPCS A4297

Payer pricing summary

Low

Average

$12

Median

$10

High

$28

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +5 other terms	160	$10	$10	$3	25%	—	$7 – $40
2	UnitedHealthcare fee schedule · outpatient · +5 other terms	158	$10	$10	$0	1%	—	$10 – $10
3	Aetna fee schedule · outpatient · +4 other terms	142	$10	$10	$0	2%	—	$10 – $11
4	Devoted fee schedule · outpatient · +2 other terms	126	$10	$10	$0	1%	—	$10 – $10
5	WellCare fee schedule · outpatient · +3 other terms	123	$10	$10	$0	3%	—	$10 – $13
6	Cigna Healthspring fee schedule · outpatient · +1 other terms	104	$10	$10	$0	3%	—	$10 – $11
7	Blue Cross Blue Shield fee schedule · outpatient · +3 other terms	102	$10	$13	$4	32%	—	$9 – $25
8	Molina fee schedule · outpatient · +4 other terms	59	$15	$15	$6	39%	—	$10 – $26
9	Superior Healthplan fee schedule · outpatient	39	$10	$10	—	—	—	$10 – $10
10	Anthem fee schedule · outpatient · +4 other terms	34	$10	$10	$0	2%	—	$10 – $10
11	Kaiser fee schedule · outpatient · +2 other terms	27	$10	$10	$0	2%	—	$10 – $10
12	Oscar fee schedule · outpatient	24	$10	$10	$0	3%	—	$10 – $10
13	Cigna fee schedule · outpatient · +1 other terms	21	$10	$10	$0	3%	—	$10 – $11
14	Medicare fee schedule · outpatient	18	$10	$10	—	—	—	$10 – $10
15	Optum fee schedule · outpatient · +1 other terms	18	$10	$12	$6	45%	—	$10 – $25
16	Caresource facility · case rate · outpatient · +3 other terms	17	$17	$18	$3	19%	—	$14 – $27
17	Amerihealth Caritas fee schedule · outpatient	16	$12	$12	$0	2%	—	$11 – $12
18	Clover fee schedule · outpatient	15	$10	$10	$0	2%	—	$10 – $10
19	Medical Mutual facility · fee schedule · outpatient	10	$10	$12	$3	21%	—	$10 – $16
20	Ambetter facility · fee schedule · outpatient · +2 other terms	8	$18	$18	—	—	—	$18 – $18
21	Excellus facility · fee schedule · outpatient · +1 other terms	4	$31	$28	$13	48%	—	$10 – $47
22	First Health professional · fee schedule · both	3	$7	$7	—	—	—	$7 – $7
23	Highmark professional · fee schedule · both · +2 other terms	3	$7	$7	—	—	—	$7 – $7
24	Bcbs Ks fee schedule · outpatient	2	$10	$10	—	—	—	$10 – $10
25	Bcbs Mi facility · case rate · outpatient	2	$5	$5	—	—	—	$5 – $5

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