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See a sample rate comparisonHCPCS A4628 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.
Oral and/or oropharyngeal suction catheter, each
| Key Fact | Detail |
|---|---|
| Service Type | Medical And Surgical Supplies Respiratory Supplies and Equipment |
| Complexity Level | Low |
| Medicaid Fee Schedule | View Medicaid rates for A4628 |
National average reimbursement for HCPCS A4628 by major payers:
$4.24
$2.77
$3.42
$6.58
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HCPCS A4628
5 of 25 sample ratesHigher to lower in this preview
Emory Crawford Long Hospital
Emory University
$4.61Published rateDublin Vamc
$2.99Published rateJasper Health Services, Inc., Jasper Memorial Hospital
Jasper Health Services Inc
$2.43Published rateLower Oconee Community Hospital Inc
$1.50Published rateJenkins County Hospital LLC, Optim Medical Center - Jenkins
$0.27Published rate
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See a sample payer proposalHCPCS A4628 vs. Other Respiratory Supplies and Equipment Codes
The HCPCS A4628 code is part of the Medical And Surgical Supplies services used for Respiratory Supplies and Equipment. 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 A4628 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 |
|---|---|---|
| A4627-HCPCS | Low | Spacer, bag or reservoir, with or without mask, for use with metered dose inhaler |
| A4628-HCPCS | Low | Oral and/or oropharyngeal suction catheter, each |
| A4629-HCPCS | Low | Tracheostomy care kit for established tracheostomy |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including HCPCS A4628. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the A4628 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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