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
$38
Average
$71
Median
$70
High
$123
Each hospital's average Ucare rate, under the methodology and billing class chosen below.
54 hospitals; the 90th percentile is 1.4× 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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73 hospital rates
iThe hospitals that file a Ucare 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 · fee schedule · outpatient | 4 | $74 | $75 | $3 | 4% | 16–34 | $73 – $80 |
| 2 | Mayo Clinic Health System Lake City 55041-1143 facility · percent of total billed charges · bothfrom % of charges | 4 | $80 | $67 | $35 | 52% | 1–10 | $28 – $117 |
| 3 | Allina Health Systems Shakopee, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $64 | $54 | 85% | — | $26 – $157 |
| 4 | Allina Health Systems MN; 1175 Nininger Road. Hastings, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $64 | $54 | 85% | — | $26 – $157 |
| 5 | Allina Health Systems Owatonna, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $64 | $54 | 85% | — | $26 – $157 |
| 6 | Allina Health Systems Ulm, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $82 | $82 | $60 | 73% | — | $23 – $142 |
| 7 | Allina Health Systems MN 55443; 550 Osborne Road NE. Fridley, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $64 | $54 | 85% | — | $26 – $157 |
| 8 | Allina Health Systems Cambridge, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $64 | $54 | 85% | — | $26 – $157 |
| 9 | Allina Health Systems Faribualt, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $64 | $54 | 85% | — | $26 – $157 |
| 10 | Allina Health Systems River Falls, WI facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $64 | $54 | 85% | — | $26 – $157 |
| 11 | Allina Health Systems Minneapolis, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $64 | $54 | 85% | — | $26 – $157 |
| 12 | Allina Health Systems Buffalo, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $36 | $64 | $54 | 85% | — | $26 – $157 |
| 13 | Covenant Medical Center Inc Waterloo, IA professional · fee schedule · both | 3 | $73 | $76 | $5 | 7% | — | $71 – $83 |
| 14 | Fairview Bethesda Hospital St. Paul, MN fee schedule · both | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 15 | Fairview Health Services Edina, MN fee schedule · both | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 16 | Fairview Health Services Minneapolis, MN fee schedule · both | 2 | $78 | $78 | — | — | — | $78 – $78 |
| 17 | Fairview Health Services Burnsville, MN fee schedule · both | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 18 | Fairview Health Services Wyoming, MN fee schedule · both | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 19 | Fairview Health Services Princeton, MN fee schedule · both | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 20 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · both | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 21 | Fairview Maple Grove Surgery Center Maple Grove, MN fee schedule · outpatient | 2 | $146 | $146 | $21 | 14% | — | $125 – $167 |
| 22 | Grand Itasca Clinic and Hospital Grand Rapids, MN facility · percent of total billed charges · outpatientfrom % of charges | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 23 | HealthEast St John's Hospital Maplewood, MN fee schedule · both | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 24 | HealthEast Woodwinds Hospital Woodbury, MN fee schedule · both | 1 | $78 | $78 | — | — | — | $78 – $78 |
| 25 | Mahnomen Health Center Mahnomen, MN facility · case rate · outpatient | 1 | $89 | $89 | — | — | — | $89 – $89 |
← Payers reporting HCPCS A4562 · Snapshot 20261111T120946Z-9134e7f7