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
PR PESSARY KIT NON-RUBBER
Low
$0
Average
$81
Median
$72
High
$524
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
232 hospitals; the 90th percentile is 3.3× 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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341 hospital rates
iThe hospitals that file a Anthem rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 4 | $98 | $101 | $31 | 31% | 4–40 | $59 – $154 |
| 2 | MaineHealth Farmington, ME other · both | 1 | $26 | $26 | — | — | 1–10 | $26 – $26 |
| 3 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · case rate · outpatient | 1 | $28 | $28 | — | — | — | $28 – $28 |
| 4 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · fee schedule · outpatient | 2 | $268 | $268 | $22 | 8% | — | $247 – $290 |
| 5 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $79 | $79 | — | — | — | $79 – $79 |
| 6 | AKRON GENERAL MEDICAL CENTER Akron, OH facility · percent of total billed charges · outpatientfrom % of charges | 1 | $77 | $77 | — | — | — | $77 – $77 |
| 7 | AKRON GENERAL MEDICAL CENTER Akron, OH professional · fee schedule · outpatient | 5 | $234 | $177 | $69 | 39% | — | $92 – $234 |
| 8 | ALICE_PECK_DAY_MEMORIAL_HOSPITAL LEBANON, NH percent of total billed charges · outpatientfrom % of charges | 1 | $57 | $57 | — | — | — | $57 – $57 |
| 9 | Acadia Hospital Bangor, ME facility · fee schedule · outpatient | 2 | $34 | $34 | $4 | 12% | — | $30 – $39 |
| 10 | Acadia Hospital Bangor, ME professional · fee schedule · outpatient | 1 | $31 | $31 | — | — | — | $31 – $31 |
| 11 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · inpatientfrom % of charges | 3 | $51 | $48 | $8 | 16% | — | $37 – $55 |
| 12 | Adena Fayette Medical Center Washington Court House, OH facility · percent of total billed charges · outpatientfrom % of charges | 4 | $46 | $43 | $13 | 31% | — | $22 – $56 |
| 13 | Adena Health System Chillicothe, OH facility · percent of total billed charges · inpatientfrom % of charges | 1 | $54 | $54 | — | — | — | $54 – $54 |
| 14 | Adena Health System Chillicothe, OH facility · percent of total billed charges · outpatientfrom % of charges | 5 | $48 | $47 | $6 | 13% | — | $39 – $54 |
| 15 | Alta Newport Hospital, LLC Tustin, CA facility · case rate · outpatient | 1 | $69 | $69 | — | — | — | $69 – $69 |
| 16 | Aspirus Divine Savior Hospital Portage, WI fee schedule · both | 3 | $71 | $71 | $1 | 1% | — | $70 – $71 |
| 17 | Aspirus Rhinelander Hospital Rhinelander, WI fee schedule · both | 5 | $71 | $71 | $1 | 1% | — | $69 – $71 |
| 18 | Aspirus Wausau Hospital Wausau, WI fee schedule · both | 1 | $70 | $70 | — | — | — | $70 – $70 |
| 19 | Aspirus Wisconsin Rapids Hospital Wisconsin Rapids, WI fee schedule · both | 3 | $71 | $71 | — | — | — | $71 – $71 |
| 20 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $230 | $230 | — | — | — | $230 – $230 |
| 21 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 3 | $176 | $189 | $29 | 15% | — | $162 – $230 |
| 22 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · inpatientfrom % of charges | 1 | $230 | $230 | — | — | — | $230 – $230 |
| 23 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · outpatientfrom % of charges | 3 | $176 | $189 | $29 | 15% | — | $162 – $230 |
| 24 | BRIGHTON COMMUNITY HOSPITAL ASSOCIATION DBA INTERMOUNTAIN HEALTH PLATTE VALLEY HOSPITAL BRIGHTON, CO facility · fee schedule · outpatient | 4 | $110 | $110 | — | — | — | $110 – $110 |
| 25 | Blue Hill Memorial Hospital Hill, ME professional · fee schedule · outpatient | 2 | $20 | $16 | $10 | 62% | — | $3 – $26 |
← Payers reporting HCPCS A4562 · Snapshot 20261111T120946Z-9134e7f7