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
$50
Average
$105
Median
$91
High
$247
Each hospital's average Healthpartners rate, under the methodology and billing class chosen below.
44 hospitals; the 90th percentile is 3.2× 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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71 hospital rates
iThe hospitals that file a Healthpartners 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 Health System St, NE facility · percent of total billed charges · bothfrom % of charges | 3 | $76 | $78 | $50 | 65% | 1–10 | $28 – $133 |
| 2 | Allina Health Systems Owatonna, MN facility · other · outpatient | 1 | $122 | $214 | $182 | 85% | — | $86 – $528 |
| 3 | Allina Health Systems Cambridge, MN facility · other · outpatient | 1 | $122 | $214 | $182 | 85% | — | $86 – $528 |
| 4 | Allina Health Systems Faribualt, MN facility · other · outpatient | 1 | $122 | $214 | $182 | 85% | — | $86 – $528 |
| 5 | Allina Health Systems Buffalo, MN facility · other · outpatient | 1 | $122 | $214 | $182 | 85% | — | $86 – $528 |
| 6 | Alomere Health Alexandria, MN facility · fee schedule · outpatient | 1 | $247 | $247 | — | — | — | $247 – $247 |
| 7 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · inpatientfrom % of charges | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 8 | Aurora St Lukes Medical Center of Aurora Health Care Metro Inc Milwaukee, WI percent of total billed charges · outpatientfrom % of charges | 3 | $203 | $189 | $19 | 10% | — | $162 – $203 |
| 9 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · inpatientfrom % of charges | 1 | $203 | $203 | — | — | — | $203 – $203 |
| 10 | Aurora West Allis Medical Center West Allis, WI percent of total billed charges · outpatientfrom % of charges | 3 | $203 | $189 | $19 | 10% | — | $162 – $203 |
| 11 | Avera Behavioral Health Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $101 | $101 | $0 | 0% | — | $101 – $101 |
| 12 | Avera McKennan Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $101 | $101 | $0 | 0% | — | $101 – $101 |
| 13 | Avera Specialty Hospital Sioux Falls, SD percent of total billed charges · outpatientfrom % of charges | 1 | $101 | $101 | $0 | 0% | — | $101 – $101 |
| 14 | Avera St. Luke's Aberdeen, SD percent of total billed charges · outpatientfrom % of charges | 1 | $96 | $96 | $2 | 2% | — | $89 – $97 |
| 15 | Avera St. Mary's Hospital Pierre, SD percent of total billed charges · outpatientfrom % of charges | 1 | $133 | $132 | $5 | 4% | — | $116 – $133 |
| 16 | GLENCOE REGIONAL HEALTH SERVICES Glencoe, MN professional · fee schedule · outpatient | 5 | $73 | $74 | $4 | 6% | — | $71 – $83 |
| 17 | Mayo Clinic Rochester, MN professional · fee schedule · outpatient | 1 | $104 | $104 | — | — | — | $104 – $104 |
| 18 | Mayo Clinic Rochester, MN professional · percent of total billed charges · outpatientfrom % of charges | 3 | $95 | $95 | $2 | 2% | — | $94 – $99 |
| 19 | Mayo Clinic Arizona Phoenix, AZ professional · percent of total billed charges · outpatientfrom % of charges | 2 | $50 | $50 | $2 | 4% | — | $48 – $53 |
| 20 | Mayo Clinic Health System Mankato 56001-4752 facility · percent of total billed charges · bothfrom % of charges | 3 | $76 | $78 | $50 | 65% | — | $28 – $133 |
| 21 | Mayo Clinic Health System Mankato 56001-4752 professional · fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 22 | Mayo Clinic Health System Mankato 56001-4752 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $125 | $125 | $1 | 1% | — | $124 – $126 |
| 23 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 3 | $76 | $78 | $50 | 65% | — | $28 – $133 |
| 24 | Mayo Clinic Health System Lake City 55041-1143 professional · fee schedule · outpatient | 1 | $109 | $109 | — | — | — | $109 – $109 |
| 25 | Mayo Clinic Health System Lake City 55041-1143 professional · percent of total billed charges · outpatientfrom % of charges | 2 | $125 | $125 | $1 | 1% | — | $124 – $126 |
← Payers reporting HCPCS A4562 · Snapshot 20261111T120946Z-9134e7f7