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Insertion Tray with Drainage Bag, Three-Way Foley Catheter

Pennsylvania rates for HCPCS A4316

Insertion tray with drainage bag with indwelling catheter, Foley type, three-way, for continuous irrigation

Rates data updated July 2026.

How much does Insertion Tray with Drainage Bag, Three-Way Foley Catheter cost?

$22.91

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $22.91 for this service. The price depends on where it is billed: about $22.91 from a physician practice, and about $29.51 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 8 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$22.91$18.62 to $25.70
FacilityA hospital or hospital-owned outpatient department$29.51$18.62 to $120

How much rates vary

Facilitymedian $30 · 10th to 90th $19 to $200Professionalmedian $23 · 10th to 90th $17 to $38
$100$1K$10Kfacility $30professional $23

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
$18.62
Median
$18.62
Typical High
$29.51
Aetna
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$22.91
Typical High
$37.15
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$54.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$16.60
Typical High
$16.60
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$50.12
Typical High
$77.62
Geisinger
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$22.91
Typical High
$38.02
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$18.62
Median
$18.62
Typical High
$29.51
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$22.91
Typical High
$32.36
UPMC Health Plan
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$134.90
Typical High
$218.78
UPMC Health Plan
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$35.48
Typical High
$38.02
United
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$18.20
Typical High
$25.12
United
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$18.62
Typical High
$39.81

Where Pennsylvania sits

The same service costs 2.8 times more in Hawaii than in Colorado. 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.

Pennsylvania· 41st of 51

$22.91

HI $47.86CO $17.38

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.