# HCPCS A4357: Bedside drainage bag, day/night, with or without anti-reflux device

Medicare HCPCS A4357 pays $13.21 on average under the 2026 Q4 Medicare DMEPOS Fee Schedule (non-rural). State amounts run from $11.76 in Vermont to $15.39 in Hawaii, a 31% spread.

Web page: https://www.med-reveal.com/rates/A4357-hcpcs-fee-schedule
Section: DME, Prosthetics, Orthotics and Supplies

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $13.21 |
| National facility | $13.21 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Hawaii | $15.39 | $15.39 |
| Alaska | $14.40 | $14.40 |
| Puerto Rico | $13.96 | $13.96 |
| Alabama | $13.84 | $13.84 |
| Arkansas | $13.84 | $13.84 |
| California | $13.84 | $13.84 |
| Colorado | $13.84 | $13.84 |
| Florida | $13.84 | $13.84 |
| Illinois | $13.84 | $13.84 |
| Indiana | $13.84 | $13.84 |
| Louisiana | $13.84 | $13.84 |
| Maryland | $13.84 | $13.84 |
| Michigan | $13.84 | $13.84 |
| Minnesota | $13.84 | $13.84 |
| Missouri | $13.84 | $13.84 |
| Nevada | $13.84 | $13.84 |
| New Hampshire | $13.84 | $13.84 |
| New York | $13.84 | $13.84 |
| North Carolina | $13.84 | $13.84 |
| North Dakota | $13.84 | $13.84 |
| Ohio | $13.84 | $13.84 |
| Oregon | $13.84 | $13.84 |
| South Carolina | $13.84 | $13.84 |
| South Dakota | $13.84 | $13.84 |
| Virgin Islands | $13.84 | $13.84 |
| Washington | $13.84 | $13.84 |
| West Virginia | $13.84 | $13.84 |
| Wisconsin | $13.84 | $13.84 |
| Wyoming | $13.84 | $13.84 |
| Arizona | $13.77 | $13.77 |
| Kansas | $13.61 | $13.61 |
| Nebraska | $13.52 | $13.52 |
| Connecticut | $13.30 | $13.30 |
| Delaware | $13.11 | $13.11 |
| District of Columbia | $13.11 | $13.11 |
| New Jersey | $13.11 | $13.11 |
| Pennsylvania | $13.11 | $13.11 |
| Iowa | $13.01 | $13.01 |
| Virginia | $12.26 | $12.26 |
| Georgia | $11.76 | $11.76 |
| Idaho | $11.76 | $11.76 |
| Kentucky | $11.76 | $11.76 |
| Maine | $11.76 | $11.76 |
| Massachusetts | $11.76 | $11.76 |
| Mississippi | $11.76 | $11.76 |
| Montana | $11.76 | $11.76 |
| New Mexico | $11.76 | $11.76 |
| Oklahoma | $11.76 | $11.76 |
| Rhode Island | $11.76 | $11.76 |
| Tennessee | $11.76 | $11.76 |
| Texas | $11.76 | $11.76 |
| Utah | $11.76 | $11.76 |
| Vermont | $11.76 | $11.76 |

## Related codes

- A4310: Insertion tray without drainage bag and without catheter — https://www.med-reveal.com/rates/A4310-hcpcs-fee-schedule
- A4311: Insertion tray with drainage bag, without catheter, two-way latex — https://www.med-reveal.com/rates/A4311-hcpcs-fee-schedule
- A4314: Insertion tray with drainage bag, with indwelling catheter, two-way latex — https://www.med-reveal.com/rates/A4314-hcpcs-fee-schedule
- A4315: Insertion tray with drainage bag, with indwelling catheter, two-way, all silicone — https://www.med-reveal.com/rates/A4315-hcpcs-fee-schedule
- A4326: Male external catheter, specialty type — https://www.med-reveal.com/rates/A4326-hcpcs-fee-schedule
- A4327: Female external urinary collection device, meatal cup — https://www.med-reveal.com/rates/A4327-hcpcs-fee-schedule
- A4328: Female external urinary collection device, pouch — https://www.med-reveal.com/rates/A4328-hcpcs-fee-schedule
- A4331: Extension drainage tubing, any type, any length, with connector/adaptor — https://www.med-reveal.com/rates/A4331-hcpcs-fee-schedule

Commercial negotiated rates for A4357 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules