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HCPCS A4353Medical Service

Intermittent Urinary Catheter

Intermittent urinary catheter, with insertion supplies. Clinical pricing breakdown and utilization metrics across 16 practicing doctors nationwide.

$25.00
Peer Median Charge
Gross billed rate
$9.17
Standard Baseline
Customary allowable
2.7x
National Markup
Charge vs baseline
16
Active Physicians
Billing this code
Planning care or already received a bill for CPT A4353?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $25.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $9.17 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:
  • "Does Dr. [Name] participate in my specific insurance plan network?"
  • "What is the total self-pay or cash rate for code A4353 if paid upfront?"
  • "Are there separate facility, anesthesia, or pathology fees associated with this procedure?"