Hodge pessary without support, size 4 at Shannon River Crest Hospital

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

RING PESSARY 4 1/4IN MXPRS10 MXPRS10

San Angelo, TX

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How this price compares nationally

Shannon River Crest Hospital’s median price of $143 is 91% above the median hospital's median price ($75), higher than 87% of the 1,054 hospitals reporting HCPCS A4562. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting HCPCS A4562 at Shannon River Crest Hospital

Negotiated rates from the hospital’s own file: 7 payers, 17 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Humana medicare advantage facility · case rate · outpatient	$72	$72	—	—	—	$72 – $72
2	Aetna ppo facility · percent of total billed charges · inpatientfrom % of charges	$131	$131	—	—	—	$131 – $131
3	Aetna ppo facility · percent of total billed charges · outpatientfrom % of charges	$131	$131	—	—	—	$131 – $131
4	Cigna ppo facility · percent of total billed charges · outpatientfrom % of charges	$143	$143	—	—	—	$143 – $143
5	Bcbs Tx bav facility · percent of total billed charges · inpatientfrom % of charges	$149	$149	—	—	—	$149 – $149
6	Bcbs Tx bav facility · percent of total billed charges · outpatientfrom % of charges	$149	$149	—	—	—	$149 – $149
7	Bcbs Tx hmo facility · percent of total billed charges · inpatientfrom % of charges	$149	$149	—	—	—	$149 – $149
8	Bcbs Tx hmo facility · percent of total billed charges · outpatientfrom % of charges	$149	$149	—	—	—	$149 – $149
9	Bcbs Tx ppo facility · percent of total billed charges · inpatientfrom % of charges	$149	$149	—	—	—	$149 – $149
10	Bcbs Tx ppo facility · percent of total billed charges · outpatientfrom % of charges	$149	$149	—	—	—	$149 – $149
11	First Health ppo facility · percent of total billed charges · inpatientfrom % of charges	$149	$149	—	—	—	$149 – $149
12	First Health ppo facility · percent of total billed charges · outpatientfrom % of charges	$149	$149	—	—	—	$149 – $149
13	Ambetter ppo facility · case rate · outpatient	$154	$154	—	—	—	$154 – $154
14	UnitedHealthcare ppo facility · percent of total billed charges · inpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
15	UnitedHealthcare ppo facility · percent of total billed charges · outpatientfrom % of charges	$155	$155	—	—	—	$155 – $155
16	Humana ppo facility · percent of total billed charges · inpatientfrom % of charges	$159	$159	—	—	—	$159 – $159
17	Humana ppo facility · percent of total billed charges · outpatientfrom % of charges	$159	$159	—	—	—	$159 – $159

Last updated: Dec 8, 2025

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