How Much Does Durable Medical Equipment Item (A4311) Cost?
Also known as: DMEPOS item A4311 (CPT A4311)
Durable Medical Equipment Item (A4311) (CPT A4311) costs $21 at Medicare rates.
Procedures Commonly Done Together
These procedures are frequently performed alongside DMEPOS item A4311
How to Reduce Your Cost for DMEPOS item A4311
Practical tips that can save you hundreds or thousands of dollars
- 1 Ask about cash-pay discounts
Many hospitals and clinics offer 20-40% discounts for self-pay patients. Always ask before scheduling.
- 2 Compare facility vs. office setting costs
Some procedures cost significantly less in an office setting than a hospital. Ask your provider about options.
- 3 Shop around — costs vary significantly
Costs can vary 2-3x between providers in the same city. Get quotes from multiple facilities.
Related Procedures
Similar procedures in the same category or body system
Frequently Asked Questions
How much does DMEPOS item A4311 cost?
The Medicare facility rate for DMEPOS item A4311 is $21. Commercial insurance rates typically range from 150% to 250% of Medicare (varies by plan).
How much does DMEPOS item A4311 cost without insurance?
Without insurance, the cost of DMEPOS item A4311 can range from 150% of Medicare to 500% of Medicare depending on the facility. Many hospitals and clinics offer self-pay discounts of 20-40% off their chargemaster price. Always ask about cash pricing before your visit.
Does insurance cover DMEPOS item A4311?
Most commercial health insurance plans and Medicare cover DMEPOS item A4311 when ordered by a physician for a medically necessary reason. Your out-of-pocket cost depends on your plan's deductible, copay/coinsurance structure, and whether you use an in-network provider. Check with your insurance company before scheduling to confirm coverage and get a cost estimate.
Why does the cost vary so much by location?
Medicare adjusts payments using Geographic Practice Cost Indices (GPCIs) that reflect local differences in physician work costs, practice expenses, and malpractice insurance. Manhattan, San Francisco, and other high-cost areas pay significantly more than rural regions. Commercial insurers follow similar geographic patterns.