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
HC DEV PSSRY RING 5 W/SUPP 76MM
Low
$1
Average
$83
Median
$65
High
$350
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Showing only prices reported under the other methodology. Choose another in the filter above to change the chart. 69 hospitals; the 90th percentile is 11.3× 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.
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| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | Tacoma General Allenmore Hospital Tacoma, WA | $58 | $58 | — | — | 48–480 | $58 – $334 |
| 2 | Good Samaritan Hospital Puyallup, WA | $58 | $58 | — | — | 48–480 | $58 – $334 |
| 3 | MultiCare Capital Medical Center Olympia, WA | $113 | $113 | — | — | 48–480 | $85 – $389 |
| 4 | Davis Medical Center Elkins, WV | $58 | $58 | — | — | 2–20 | $58 – $314 |
| 5 | Mon Health Medical Center Morgantown, WV | $48 | $48 | $10 | 20% | 2–20 | $39 – $333 |
| 6 | MaineHealth Farmington, ME | $26 | $26 | — | — | 1–10 | $26 – $231 |
| 7 | Bluffton Health System LLC Bluffton, IN | $39 | $39 | — | — | — | $36 – $135 |
| 8 | Dukes Health System LLC Peru, IN | $48 | $47 | $8 | 18% | — | $28 – $150 |
| 9 | St. Joseph Health System, LLC Wayne, IN | $150 | $150 | — | — | — | $36 – $150 |
| 10 | Wellington Regional Medical Center Wellington, FL | $277 | $312 | $66 | 21% | — | $238 – $414 |
Ask Claude or any MCP client for HCPCS A4562 pricing at a specific hospital — see how to connect.