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
HC Pessary Donut Size 7 3.75in Disposable
Prices here combine facility and professional fees. See them separately →Experimental
Low
$62
Average
$569
Median
$113
High
$2.4k
Filter by billing methodology
Reflects a negotiated percentage of total billed charges.
Showing only prices reported under the percent of billed charges methodology. Choose another in the filter above to change the chart. 8 hospitals; the 90th percentile is 18.4× 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.
Click a bar to filter the hospitals table to that price range.
| # | Hospital | ||||||
|---|---|---|---|---|---|---|---|
| 1 | St Luke's Magic Valley Regional Medical Center, LTD Twin Falls, ID | $110 | $115 | $9 | 8% | — | $90 – $131 |
| 2 | Marion Neighborhood Hospital White Hall, WV | $2.0k | $1.5k | $781 | 53% | — | $380 – $2.0k |
| 3 | Cleveland Clinic Weston Hospital Nonprofit Corporation Weston, FL | $67 | $62 | $15 | 25% | — | $38 – $76 |
| 4 | St Luke's Regional Medical Center, LTD Boise, ID | $110 | $112 | $6 | 6% | — | $90 – $124 |
| 5 | St Luke's Nampa Medical Center, LTD Nampa, ID | $113 | $114 | $5 | 4% | — | $104 – $124 |
| 6 | St Luke's McCall, LTD McCall, ID | $123 | $112 | $23 | 20% | — | $80 – $138 |
| 7 | Mon Health Medical Center Morgantown, WV | $2.4k | $2.4k | $195 | 8% | — | $1.9k – $2.6k |
| 8 | St Luke's Wood River Medical Center, LTD Ketchum, ID | $124 | $111 | $23 | 20% | — | $79 – $138 |
Ask Claude or any MCP client for HCPCS A4564 pricing at a specific hospital — see how to connect.