Rate Benchmarking
Compare your rates with similar providers.
Select a published rate, define comparable providers, and see where that rate falls in your market.
See a sample rate comparisonHCPCS A4305 Fee Schedule
HCPCS A4305 is classified under Medical And Surgical Supplies, in the Access Catheters and Drug Delivery Systems subgroup.
Disposable drug delivery system, flow rate of 50 ml or greater per hour
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Access Catheters and Drug Delivery Systems |
| Complexity Level | Low |
| Medicaid Fee Schedule | $16.495 median of the 8 states in the free preview · View Medicaid rates for A4305 |
National average reimbursement for HCPCS A4305 by major payers:
$16.85
BCBS / Anthem
$6.86
UnitedHealthcare
$8.23
Aetna
$12.52
Cigna
Compare published rates across providers.
Choose a payer to see a sample of rates for HCPCS A4305.
HCPCS A4305
5 of 25 sample ratesHigher to lower in this preview
Mary Beth Luttrell
Shannon Clinic
$14.66Published rateCarson T. Lo Md PA
Carson Lo, M.D., P.A.
$6.44Published rateRambabu Chalasani
Gastroenterology Partners Of North Houston PLLC
$5.62Published rateHans Sander
Central Texas Community Health Centers
$5.31Published rateTexas Internal Medicine Associates PLLC
$4.69Published rate
Get a free rate benchmark for your specialty.
Choose your state and specialty to build a report from payer-published rates.
Use market rates to prepare your payer proposal.
Payer Contract Negotiation
Draft a fee schedule renegotiation letter.
Use your fee schedule and market benchmarks to set target rates and draft a letter for your payer.
See a sample payer proposalHCPCS A4305 vs. Other Access Catheters and Drug Delivery Systems Codes
The table lists codes related to A4305. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| A4301-HCPCS | Moderate | Implantable access total catheter, port/reservoir (e.g., venous, arterial, epidural, subarachnoid, peritoneal, etc.) |
| A4305-HCPCS | Low | Disposable drug delivery system, flow rate of 50 ml or greater per hour |
| A4306-HCPCS | Low | Disposable drug delivery system, flow rate of less than 50 ml per hour |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4305. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4305 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
FREE SAMPLE MARKET COMPARISON
Let's review your payer contracts side-by-side with the market.
Bring your top codes (like HCPCS A4305) and we'll show you how you compare in 15 minutes or less.