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
$184
Median
$74
High
$8.8k
Each hospital's average Blue Cross Blue Shield rate, under the methodology and billing class chosen below.
417 hospitals; the 90th percentile is 4.4× 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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574 hospital rates
iThe hospitals that file a Blue Cross Blue Shield 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 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 8 | $94 | $94 | $3 | 3% | 67–94 | $92 – $101 |
| 2 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 4 | $76 | $77 | $3 | 4% | 42–60 | $74 – $83 |
| 3 | The Carle Foundation Hospital Urbana, IL percent of total billed charges · outpatientfrom % of charges | 2 | $144 | $149 | $40 | 27% | 18 | $39 – $237 |
| 4 | AnMed Health Anderson, SC professional · percent of total billed charges · outpatientfrom % of charges | 4 | $39 | $47 | $12 | 26% | 5–50 | $39 – $64 |
| 5 | Mercy Health Saint Marys Rockford, MI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | — | — | 3–30 | $79 – $79 |
| 6 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 6 | $53 | $55 | $4 | 8% | 2–20 | $53 – $63 |
| 7 | Mayo Clinic Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 7 | $114 | $103 | $28 | 27% | 2–20 | $56 – $129 |
| 8 | Mercy Health Hackley Campus Muskogen, MI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | — | — | 2–20 | $79 – $79 |
| 9 | Northern Hospital District of Surry County Mount Airy, NC facility · fee schedule · both | 1 | $28 | $28 | — | — | 2–20 | $28 – $28 |
| 10 | CAPE CORAL HOSPITAL CAPE CORAL, FL professional · fee schedule · both | 1 | $57 | $57 | — | — | 1–10 | $57 – $57 |
| 11 | City Hospital, Inc. Martinsburg, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $1.7k | $1.7k | — | — | 1–10 | $1.7k – $1.7k |
| 12 | Eisenhower Medical Center Rancho Mirage, CA percent of total billed charges · inpatientfrom % of charges | 3 | $329 | $296 | $46 | 15% | 1–10 | $232 – $329 |
| 13 | FHN Memorial Hospital Freeport, IL percent of total billed charges · outpatientfrom % of charges | 1 | $207 | $207 | — | — | 1–10 | $207 – $207 |
| 14 | Mayo Clinic Health System Menomonie, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $68 | $68 | $31 | 45% | 1–10 | $37 – $99 |
| 15 | Mayo Clinic Health System Owatonna 55060-5503 professional · fee schedule · outpatient | 3 | $75 | $73 | $3 | 5% | 1–10 | $68 – $76 |
| 16 | Mayo Clinic Health System Owatonna 55060-5503 professional · percent of total billed charges · outpatientfrom % of charges | 7 | $119 | $120 | $5 | 4% | 1–10 | $113 – $129 |
| 17 | Mayo Clinic Health System Bloomer, WI facility · percent of total billed charges · bothfrom % of charges | 2 | $71 | $71 | $28 | 40% | 1–10 | $43 – $99 |
| 18 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA case rate · outpatient | 3 | $104 | $108 | $32 | 30% | — | $71 – $144 |
| 19 | ADVENTIST HEALTH CLEARLAKE HOSPITAL INC Clearlake, CA percent of total billed charges · outpatientfrom % of charges | 5 | $45 | $71 | $51 | 71% | — | $24 – $163 |
| 20 | ADVENTIST HEALTH MEDICAL CENTER TEHACHAPI Tehachapi, CA fee schedule · outpatient | 4 | $67 | $68 | $7 | 10% | — | $61 – $79 |
| 21 | ADVENTIST HEALTH MENDOCINO COAST Bragg, CA fee schedule · outpatient | 4 | $62 | $54 | $20 | 36% | — | $21 – $71 |
| 22 | ADVENTIST HEALTH TULARE Tulare, CA case rate · outpatient | 2 | $159 | $159 | $8 | 5% | — | $151 – $168 |
| 23 | ADVENTIST HEALTH TULARE Tulare, CA fee schedule · outpatient | 1 | $44 | $44 | — | — | — | $44 – $44 |
| 24 | ADVENTIST HEALTH TULARE Tulare, CA other · outpatient | 2 | $69 | $69 | — | — | — | $69 – $69 |
| 25 | ADVENTIST HEALTH TULARE Tulare, CA percent of total billed charges · outpatientfrom % of charges | 2 | $125 | $125 | $20 | 16% | — | $105 – $145 |
← Payers reporting HCPCS A4562 · Snapshot 20261111T120946Z-9134e7f7