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
$30
Average
$17.6k
Median
$73
High
$1314.3k
Each hospital's average Highmark rate, under the methodology and billing class chosen below.
75 hospitals; the 90th percentile is 5.4× 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.
Filter by billing methodology
Filter by billing class
110 hospital rates
iThe hospitals that file a Highmark 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 | Mercy Health Hackley Campus Muskogen, MI professional · percent of total billed charges · outpatientfrom % of charges | 1 | $79 | $79 | — | — | 2–20 | $79 – $79 |
| 2 | Davis Medical Center Elkins, WV facility · percent of total billed charges · outpatientfrom % of charges | 1 | $274 | $274 | — | — | 1–10 | $274 – $274 |
| 3 | Mon Health Medical Center Morgantown, WV other · outpatient | 1 | $39 | $39 | — | — | 1–10 | $39 – $39 |
| 4 | Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $75 | $75 | — | — | 1–10 | $75 – $75 |
| 5 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · inpatient | 11 | $57 | $57 | — | — | — | $57 – $57 |
| 6 | ALLE-KISKI MEDICAL CENTER NATRONA HEIGHTS, PA fee schedule · outpatient | 19 | $64 | $72 | $21 | 29% | — | $34 – $115 |
| 7 | Alice Hyde Medical Center Malone, NY facility · percent of total billed charges · outpatientfrom % of charges | 1 | $231 | $229 | $16 | 7% | — | $209 – $278 |
| 8 | Alice Hyde Medical Center Malone, NY professional · percent of total billed charges · bothfrom % of charges | 1 | $251 | $251 | — | — | — | $251 – $251 |
| 9 | Broaddus Hospital Association Inc Philippi, WV professional · fee schedule · both | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 10 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · inpatient | 11 | $57 | $57 | — | — | — | $57 – $57 |
| 11 | CANONSBURG GENERAL HOSPITAL CANONSBURG, PA fee schedule · outpatient | 19 | $64 | $71 | $19 | 27% | — | $34 – $110 |
| 12 | Champlain Valley Physicians Hospital Medical Center Plattsburgh, NY facility · percent of total billed charges · outpatientfrom % of charges | 2 | $191 | $163 | $40 | 24% | — | $93 – $191 |
| 13 | Charleston Area Medical Center Charleston, WV percent of total billed charges · bothfrom % of charges | 4 | $453 | $418 | $172 | 41% | — | $141 – $828 |
| 14 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 2 | $71 | $68 | $3 | 5% | — | $64 – $71 |
| 15 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient | 1 | $45 | $45 | — | — | — | $45 – $45 |
| 16 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient | 1 | $50 | $50 | — | — | — | $50 – $50 |
| 17 | Davis Medical Center Elkins, WV facility · case rate · outpatient | 1 | $86 | $86 | — | — | — | $86 – $86 |
| 18 | Davis Medical Center Elkins, WV professional · fee schedule · both | 1 | $51 | $51 | — | — | — | $51 – $51 |
| 19 | F.F. Thompson Hospital Canandaigua, NY fee schedule · outpatient | 2 | $32 | $32 | — | — | — | $32 – $32 |
| 20 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · inpatient | 11 | $57 | $57 | — | — | — | $57 – $57 |
| 21 | GROVE CITY MEDICAL CENTER GROVE CITY, PA fee schedule · outpatient | 19 | $64 | $88 | $42 | 48% | — | $56 – $166 |
| 22 | Greenbrier Valley Medical Center Ronceverte, WV fee schedule · both | 1 | $71 | $71 | — | — | — | $71 – $71 |
| 23 | Greenbrier Valley Medical Center Ronceverte, WV percent of total billed charges · bothfrom % of charges | 4 | $742 | $570 | $289 | 51% | — | $136 – $840 |
| 24 | Holy Cross Germantown Hospital Germantown, MD facility · percent of total billed charges · bothfrom % of charges | 1 | $110 | $119 | $15 | 13% | — | $105 – $140 |
| 25 | Holy Cross Hospital-Ft. Lauderdale Ft. Lauderdale, FL facility · percent of total billed charges · bothfrom % of charges | 1 | $44 | $47 | $6 | 13% | — | $42 – $56 |
← Payers reporting HCPCS A4562 · Snapshot 20261111T120946Z-9134e7f7