Bedside urinary drainage bag

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

KIT REPLACEMENT BLUE-INT MECRB030

Payers reporting HCPCS A4357

Payer pricing summary

Low

Average

$26

Median

$16

High

$246

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +19 other terms	308	$14	$19	$19	97%	—	$4 – $90
2	UnitedHealthcare fee schedule · outpatient · +22 other terms	299	$13	$12	$2	19%	—	$3 – $35
3	Aetna fee schedule · outpatient · +23 other terms	274	$14	$14	$7	50%	—	$6 – $86
4	Blue Cross Blue Shield fee schedule · outpatient · +19 other terms	192	$14	$15	$8	50%	—	$0 – $58
5	WellCare fee schedule · outpatient · +11 other terms	186	$12	$13	$3	20%	—	$3 – $26
6	Devoted fee schedule · outpatient · +5 other terms	162	$13	$12	$1	7%	—	$12 – $14
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	116	$14	$13	$1	10%	—	$12 – $15
8	Molina fee schedule · outpatient · +12 other terms	96	$17	$17	$6	38%	—	$10 – $31
9	Cigna fee schedule · outpatient · +20 other terms	81	$14	$15	$5	29%	—	$12 – $35
10	Anthem fee schedule · outpatient · +15 other terms	77	$14	$13	$2	18%	—	$3 – $23
11	Superior Healthplan fee schedule · outpatient · +1 other terms	41	$12	$12	$0	3%	—	$7 – $12
12	Kaiser fee schedule · outpatient · +11 other terms	39	$14	$14	$0	2%	—	$13 – $14
13	Clover fee schedule · outpatient · +1 other terms	37	$13	$13	$1	6%	—	$12 – $15
14	Bcbs Tx fee schedule · outpatient · +3 other terms	31	$11	$11	$3	29%	—	$8 – $40
15	Optum fee schedule · outpatient · +9 other terms	25	$13	$15	$5	37%	—	$12 – $29
16	Oscar fee schedule · outpatient · +6 other terms	24	$12	$13	$1	12%	—	$12 – $15
17	Caresource facility · case rate · outpatient · +7 other terms	20	$16	$18	$5	28%	—	$10 – $28
18	Ambetter facility · fee schedule · outpatient · +9 other terms	18	$19	$21	$6	28%	—	$0 – $25
19	Medicare fee schedule · outpatient · +4 other terms	18	$13	$13	$1	8%	—	$11 – $14
20	Amerihealth Caritas fee schedule · outpatient · +5 other terms	16	$17	$16	$0	2%	—	$16 – $17
21	Highmark facility · fee schedule · outpatient · +6 other terms	16	$23	$23	$15	65%	—	$4 – $65
22	Aetna Better Health fee schedule · outpatient · +6 other terms	13	$7	$9	$3	31%	—	$7 – $14
23	Wellmark fee schedule · both · +1 other terms	13	$11	$11	$0	2%	—	$10 – $11
24	Bcbs Mn fee schedule · outpatient · +5 other terms	12	$12	$8	$6	81%	—	$0 – $15
25	Bcbs Nj fee schedule · outpatient	12	$8	$19	$19	101%	—	$4 – $57

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