Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Generation details were not recorded for this description.
Original text from hospital filings
Spermicide
Low
$0
Average
$975
Median
$2
High
$304.4k
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Prices here combine facility and professional fees. See them separately →Experimental
Showing prices across every billing methodology. Pick one in the filter above to narrow the chart. 314 hospitals; the 90th percentile is 15.7× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St. Anthony Shawnee Hospital, Inc Shawnee, OK | $1 | $1 | — | — | — | $1 – $1 |
| 2 | Fairview Health Services Edina, MN | $2 | $6 | $8 | 129% | — | $1 – $37 |
| 3 | Mayo Regional Hospital Dover Foxcroft, ME | $1 | $1 | $0 | 7% | — | $1 – $1 |
| 4 | Hoopeston Community Memorial Hospital Hoopeston, IL | $0 | $0 | — | — | — | $0 – $0 |
| 5 | William Beaumont Hospital Grosse Pointe, MI | $1 | $1 | — | — | — | $1 – $1 |
| 6 | Westfield Memorial Hospital Inc WESTFIELD, NY | $0 | $6 | $6 | 113% | — | $0 – $13 |
| 7 | Sanford USD Medical Center Sioux Falls, SD | $9 | $9 | — | — | — | $9 – $9 |
| 8 | Munson Healthcare Charlevoix Hospital Charlevoix, MI | $0 | $0 | $0 | 7% | — | $0 – $0 |
| 9 | Gundersen Luthern Medical Center Inc La Crosse, WI | $9 | $9 | — | — | — | $9 – $9 |
| 10 | Fairview Health Services Minneapolis, MN | $5 | $7 | $9 | 123% | — | $1 – $37 |
Ask Claude or any MCP client for HCPCS A4269 pricing at a specific hospital — see how to connect.