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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.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR PESSARY KIT NON-RUBBER

Medicaid pricing summary

Low

Average

$48

Median

$47

High

$179

Medicaid rate distribution

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26 hospital rates

#		Plans
1	Allina Health Systems Ulm, MN facility · other · outpatient	1	$179	$179	$130	73%	—	$49 – $308
2	Berkshire Medical Center Great Barrington, MA professional · fee schedule · outpatient	2	$47	$47	—	—	—	$47 – $47
3	Brookings Health System Brookings, SD fee schedule · outpatient	1	$88	$88	$2	3%	—	$77 – $89
4	CATHOLIC HEALTH INITIATIVES COLORADO Salt Lake City, UT fee schedule · outpatient	1	$61	$61	—	—	—	$61 – $61
5	Covenant Medical Center Inc Waterloo, IA professional · fee schedule · inpatient	1	$45	$45	—	—	—	$45 – $45
6	Covenant Medical Center Inc Waterloo, IA professional · fee schedule · outpatient	1	$50	$50	—	—	—	$50 – $50
7	Fairview Hospital Great Barrington, MA professional · fee schedule · outpatient	2	$47	$47	—	—	—	$47 – $47
8	Geisinger Bloomsburg Hospital Bloomsburg, PA fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
9	Geisinger Community Medical Center Scranton, PA fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
10	Geisinger Lewistown Hospital Lewistown, PA fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
11	Geisinger Medical Center Muncy, PA fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
12	Geisinger Wyoming Valley Wilkes-Barre, PA fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
13	Hospital Authority of Colquitt County Moultrie, GA fee schedule · both	1	$44	$44	—	—	—	$44 – $44
14	Lowell General Hospital Lowell, MA percent of total billed charges · bothfrom % of charges	1	$73	$84	$30	35%	—	$64 – $150
15	MELROSEWAKEFIELD HEALTHCARE Medford, MA percent of total billed charges · bothfrom % of charges	1	$80	$80	—	—	—	$80 – $80
16	Mercy Health Hackley Campus Muskogen, MI professional · fee schedule · outpatient	1	$42	$42	—	—	—	$42 – $42
17	Mercy Health Saint Marys Rockford, MI professional · fee schedule · outpatient	1	$42	$42	—	—	—	$42 – $42
18	North Adams Regional Hospital North Adams, MA professional · fee schedule · outpatient	1	$47	$47	—	—	—	$47 – $47
19	Ohio State University Hospitals Columbus, OH fee schedule · outpatient	1	$1	$1	—	—	—	$1 – $1
20	Saint Alphonsus Medical Center - Baker City Baker City, OR facility · percent of total billed charges · bothfrom % of charges	1	$51	$55	$7	13%	—	$49 – $65
21	Saint Alphonsus Medical Center - Ontario Ontario, OR facility · percent of total billed charges · bothfrom % of charges	1	$35	$38	$5	13%	—	$33 – $44
22	Saint Alphonsus Regional Medical Center - Boise Boise, ID professional · fee schedule · both	1	$60	$60	—	—	—	$60 – $60
23	Samaritan Hospital Troy, NY professional · percent of total billed charges · bothfrom % of charges	1	$75	$75	—	—	—	$75 – $75
24	St Joseph Mercy Ann Arbor Ypsilanti, MI professional · fee schedule · outpatient	1	$42	$42	—	—	—	$42 – $42
25	Ste. Genevieve County Memorial Hospital Ste. Genevieve, MO percent of total billed charges · outpatientfrom % of charges	1	$31	$31	—	—	—	$31 – $31