Drainage bag or bottle

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

Hc (Sup Shell A4911) Drain Bag/Bottle

Payers reporting HCPCS A4911

Payer pricing summary

Low

Average

$14

Median

$14

High

$36

Payer rate distribution

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#
1	Blue Cross Blue Shield facility · fee schedule · outpatient · +6 other terms	32	$15	$19	$17	89%	—	$0 – $70
2	Aetna fee schedule · outpatient · +7 other terms	29	$12	$16	$13	80%	—	$6 – $64
3	Anthem facility · case rate · outpatient · +4 other terms	15	$15	$17	$4	23%	—	$10 – $26
4	Caresource facility · case rate · outpatient · +1 other terms	15	$16	$17	$4	23%	—	$10 – $27
5	Molina facility · case rate · outpatient · +3 other terms	15	$15	$17	$4	23%	—	$11 – $26
6	UnitedHealthcare facility · case rate · outpatient · +5 other terms	15	$16	$17	$4	23%	—	$11 – $27
7	Optum facility · case rate · outpatient · +1 other terms	11	$14	$16	$4	22%	—	$13 – $24
8	Medica fee schedule · both · +1 other terms	9	$14	$14	—	—	—	$14 – $14
9	Ucare fee schedule · both	9	$14	$14	$1	5%	—	$13 – $15
10	Bcbs Mn fee schedule · both · +2 other terms	8	$15	$15	—	—	—	$15 – $15
11	Aetna Better Health fee schedule · inpatient · +2 other terms	7	$10	$10	—	—	—	$10 – $10
12	Humana fee schedule · inpatient · +2 other terms	5	$10	$10	—	—	—	$10 – $10
13	Bcbs Ks fee schedule · outpatient · +1 other terms	3	$3	$4	$0	6%	—	$3 – $4
14	First Health professional · fee schedule · both	3	$11	$11	—	—	—	$11 – $11
15	Bcbs Id facility · fee schedule · outpatient	1	$8	$8	—	—	—	$8 – $8
16	Bcbs Il professional · fee schedule · both	1	$14	$14	—	—	—	$14 – $14
17	Bcbs La facility · fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
18	Bcbs Nc facility · fee schedule · outpatient	1	$12	$12	—	—	—	$12 – $12
19	Bcbs Nv fee schedule · outpatient	1	$0	$0	—	—	—	$0 – $0
20	Bcbs Vt professional · fee schedule · outpatient	1	$10	$10	—	—	—	$10 – $10
21	Cigna facility · percent of total billed charges · bothfrom % of charges	1	$36	$36	$10	27%	—	$24 – $50
22	Superior Healthplan facility · percent of total billed charges · bothfrom % of charges	1	$11	$11	$3	24%	—	$8 – $13
23	Wellmark case rate · outpatient · +1 other terms	1	$42	$42	—	—	—	$42 – $42