HCPCS A4354
Insertion tray with drainage bag but without catheter
Current code13 hospitals with prices
What Washington hospitals publish for this code
Commercial insurance: Rate negotiated with a private insurer or employer plan, including exchange and public-option plans.
| Hospital | Commercial insurance rates (lowest – highest) | Cash price | List price (before discounts) |
|---|---|---|---|
| Capital Medical Center | $17.17 – $156 | $73.20 | $183 |
| Deaconess Medical Center | $17.17 – $134 | $73.20 | $183 |
| Harborview Medical Center | — | $473 | $675 |
| Mary Bridge Children's Hospital | $17.17 – $149 | $73.20 | $183 |
| MultiCare Auburn Medical Center | $17.17 – $134 | $73.20 | $183 |
| MultiCare Covington Medical Center | $17.17 – $134 | $73.20 | $183 |
| MultiCare Good Samaritan Hospital | $17.17 – $134 | $73.20 | $183 |
| MultiCare Valley Hospital | $17.17 – $132 | $73.20 | $183 |
| Overlake Hospital Medical Center & Clinics | $28.06 | — | — |
| Tacoma General Allenmore Hospital | $17.17 – $134 | $73.20 | $183 |
| University of Washington Medical Ctr | — | $412 | $589 |
| Virginia Mason Medical Center | $4.80 – $6.40 | $4.08 | $8.00 |
| Yakima Valley Memorial | $52.43 – $91.70 | $42.80 | $107 |
Medicare (traditional) reference
Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.
- Equipment fee, Washington
- $14.31 (fee)