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Insertion Tray with Drainage Bag, Silicone Foley Catheter

New Hampshire rates for HCPCS A4315

Insertion tray with drainage bag with indwelling catheter, Foley type, two-way, all silicone

Rates data updated July 2026.

How much does Insertion Tray with Drainage Bag, Silicone Foley Catheter cost?

$19.05

Typical negotiated rate. In New Hampshire, July 2026.

Insurers have agreed to pay about $19.05 for this service. The price depends on where it is billed: about $19.95 from a physician practice, and about $16.60 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$19.95$16.60 to $27.54
FacilityA hospital or hospital-owned outpatient department$16.60$16.60 to $19.95

How much rates vary

Facilitymedian $17 · 10th to 90th $16 to $20Professionalmedian $20 · 10th to 90th $16 to $28
$10$20$50facility $17professional $20

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$19.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$16.60
Typical High
$19.95
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Cigna
Setting
Facility
Modifier
Global
Typical Low
$16.98
Median
$21.88
Typical High
$24.55
Cigna
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$22.91
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$27.54
Typical High
$50.12
United
Setting
Facility
Modifier
Global
Typical Low
$8.51
Median
$14.13
Typical High
$18.20
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$19.05
Typical High
$27.54
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$41.69
Median
$41.69
Typical High
$46.77

Where New Hampshire sits

The same service costs 2.9 times more in Hawaii than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New Hampshire· 46th of 51

$19.05

HI $47.86RI $16.60

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.