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See a sample rate comparisonHCPCS A4357 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Incontinence Devices and Supplies |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4357 |
National average reimbursement for HCPCS A4357 by major payers:
$10.87
$7.04
$8.28
$15.71
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HCPCS A4357
5 of 25 sample ratesHigher to lower in this preview
Chu Chen
Merrimack Valley Pediatric Associates, Inc.
$21.10Published ratePhoebe Putney Memorial Hospital Inc, Phoebe Putney Memorial Hosptial
Phoebe Putney Memorial Hospital Inc
$9.69Published rateChristopher Raio
Mercy Medical Center
$7.33Published rateHouston Hospitals Inc, Houston Medical Center
Houston Hospitals Inc
$5.36Published rateWildwood Sanitarium Incorporated, Wildwood Medical Clinic
Wildwood Sanitarium Incorporated
$3.83Published rate
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See a sample payer proposalHCPCS A4357 vs. Other Incontinence Devices and Supplies Codes
The HCPCS A4357 code is part of the Medical And Surgical Supplies services used for Incontinence Devices and Supplies. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The HCPCS A4357 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| A4356-HCPCS | Low | External urethral clamp or compression device (not to be used for catheter clamp), each |
| A4357-HCPCS | Low | Bedside drainage bag, day or night, with or without anti-reflux device, with or without tube, each |
| A4358-HCPCS | Low | Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4357. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4357 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.
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