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.
Original text from hospital filings
Replcmnt breast pump shield
Low
$0
Average
$27
Median
$16
High
$275
Filter by billing methodology
Prices here combine facility and professional fees. See them separately →Experimental
Reflects negotiated fee schedule rates with commercial payers.
Showing only prices reported under the fee schedule methodology. Choose another in the filter above to change the chart. 319 hospitals; the 90th percentile is 11.6× 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 | $17 | $17 | $1 | 4% | — | $17 – $18 |
| 2 | Fairview Health Services Edina, MN | $24 | $30 | $23 | 77% | — | $10 – $101 |
| 3 | Mayo Regional Hospital Dover Foxcroft, ME | $4 | $5 | $3 | 66% | — | $0 – $10 |
| 4 | Hoopeston Community Memorial Hospital Hoopeston, IL | $5 | $5 | — | — | — | $5 – $5 |
| 5 | Kadlec Regional Medical Center Richland, WA | $5 | $5 | — | — | — | $5 – $5 |
| 6 | William Beaumont Hospital Grosse Pointe, MI | $16 | $16 | — | — | — | $16 – $16 |
| 7 | Westfield Memorial Hospital Inc WESTFIELD, NY | $8 | $11 | $6 | 52% | — | $7 – $27 |
| 8 | Sanford USD Medical Center Sioux Falls, SD | $12 | $12 | — | — | — | $12 – $12 |
| 9 | Munson Healthcare Charlevoix Hospital Charlevoix, MI | $5 | $5 | $2 | 41% | — | $3 – $7 |
| 10 | Saint Francis Hospital South Tulsa, OK | $16 | $16 | — | — | — | $16 – $16 |
Ask Claude or any MCP client for HCPCS A4284 pricing at a specific hospital — see how to connect.