Leg or abdominal urinary drainage bag with straps

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

MEDICAL/SURGICAL SUPPLIES AND DEVICES - STERILE SUPPLY

Payers reporting HCPCS A5112

Payer pricing summary

Low

$12

Average

$47

Median

$45

High

$123

Payer rate distribution

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Filter by billing class

#
1	Humana fee schedule · outpatient · +14 other terms	312	$49	$67	$66	98%	—	$23 – $323
2	UnitedHealthcare fee schedule · outpatient · +13 other terms	299	$43	$42	$11	27%	—	$5 – $80
3	Aetna fee schedule · outpatient · +14 other terms	276	$45	$49	$26	52%	—	$13 – $346
4	WellCare fee schedule · outpatient · +6 other terms	190	$44	$47	$8	16%	—	$41 – $82
5	Blue Cross Blue Shield fee schedule · outpatient · +11 other terms	186	$50	$54	$25	46%	—	$0 – $206
6	Devoted fee schedule · outpatient · +2 other terms	163	$44	$44	$3	7%	—	$41 – $50
7	Cigna Healthspring fee schedule · outpatient · +2 other terms	121	$51	$45	$5	10%	—	$42 – $53
8	Molina fee schedule · outpatient · +9 other terms	101	$57	$58	$22	37%	—	$38 – $110
9	Cigna fee schedule · outpatient · +13 other terms	82	$48	$50	$11	22%	—	$41 – $109
10	Anthem fee schedule · outpatient · +11 other terms	74	$43	$46	$5	12%	—	$41 – $80
11	Superior Healthplan fee schedule · outpatient · +1 other terms	40	$44	$44	$0	0%	—	$41 – $44
12	Kaiser fee schedule · outpatient · +4 other terms	39	$42	$42	$1	3%	—	$41 – $48
13	Clover fee schedule · outpatient · +1 other terms	37	$44	$45	$4	10%	—	$41 – $52
14	Bcbs Tx fee schedule · outpatient	31	$39	$40	$12	29%	—	$29 – $144
15	Optum fee schedule · outpatient · +4 other terms	30	$46	$51	$18	36%	—	$41 – $105
16	Oscar fee schedule · outpatient · +5 other terms	24	$41	$46	$5	12%	—	$41 – $52
17	Caresource facility · case rate · outpatient · +4 other terms	20	$37	$48	$23	48%	—	$23 – $99
18	Medicare fee schedule · outpatient · +3 other terms	18	$41	$43	$3	6%	—	$41 – $46
19	Amerihealth Caritas fee schedule · outpatient · +2 other terms	16	$59	$59	$1	2%	—	$56 – $59
20	Ambetter fee schedule · outpatient · +6 other terms	15	$75	$70	$20	29%	—	$19 – $90
21	Wellmark fee schedule · both · +2 other terms	13	$44	$43	$1	3%	—	$35 – $44
22	Aetna Better Health fee schedule · outpatient · +3 other terms	12	$23	$34	$12	37%	—	$23 – $48
23	Bcbs Mn fee schedule · outpatient · +4 other terms	12	$41	$26	$23	86%	—	$0 – $52
24	Bcbs Nj fee schedule · outpatient	12	$41	$89	$60	68%	—	$41 – $182
25	Highmark fee schedule · outpatient · +4 other terms	10	$43	$45	$16	36%	—	$19 – $99

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