A4311
Insertion tray without drainage bag and catheter
Insertion tray without drainage bag and catheter is the #5,686 most-billed Medicaid procedure code, with $154K in payments across 25K claims from 2018–2024. The national median cost per claim is $6.49. Costs vary widely — the 90th percentile is $16.11 per claim, 2.5× the median.
Total Paid
$154K
0.00% of all spending
Total Claims
25K
Providers
48
Avg Cost/Claim
$6
National Cost Distribution
How much do providers bill per claim for A4311? Based on 43 providers billing this code nationally.
Median
$6.49
Average
$7.22
Std Dev
$6.74
Max
$32.25
Percentile Distribution (Cost per Claim)
50% of providers bill between $1.24 and $10.57 per claim for this code.
90% bill between $0.51 and $16.11.
Top 1% bill above $26.76.
About This Procedure
HCPCS code A4311 (Insertion tray without drainage bag and catheter) was billed by 48 providers across 25K claims, totaling $154K in Medicaid payments from 2018–2024. This code was used for 21K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$6.49
Providers Billing
43
National Spending
$154K
Avg/Median Ratio
1.11×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for A4311
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1386688414 | $17K |
| 2 | 1881698439 | $15K |
| 3 | 1649244138 | $15K |
| 4 | Home Care Delivered, Inc. Richmond, VA · Durable Medical Equipment & Medical Supplies | $11K |
| 5 | Inspira Medical Centers Inc. Vineland, NJ · General Acute Care Hospital | $11K |
| 6 | 1710932173 | $9K |
| 7 | Continuum, Llc Philadelphia, PA · Durable Medical Equipment & Medical Supplies | $9K |
| 8 | Rgh Enterprises, Llc Twinsburg, OH · Prosthetic/Orthotic Supplier | $9K |
| 9 | Byram Healthcare Centers, Inc. Torrance, CA · Durable Medical Equipment & Medical Supplies | $8K |
| 10 | 1295798627 | $7K |
| 11 | 180 Medical Inc Oklahoma City, OK · Durable Medical Equipment & Medical Supplies, Customized Equipment | $6K |
| 12 | Medline Industries, Lp Grayslake, IL · Durable Medical Equipment & Medical Supplies | $5K |
| 13 | 1033190137 | $5K |
| 14 | Byram Healthcare Centers, Inc. Downers Grove, IL · Durable Medical Equipment & Medical Supplies | $4K |
| 15 | 1013124213 | $4K |
| 16 | 1205837879 | $4K |
| 17 | 1023054871 | $3K |
| 18 | Shield California Health Care Center Inc Valencia, CA · Durable Medical Equipment & Medical Supplies | $3K |
| 19 | J&b Medical Supply Co Inc Wixom, MI · Durable Medical Equipment & Medical Supplies | $3K |
| 20 | 1437194164 | $2K |
Showing top 20 of 48 providers billing this code