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 4 3in Disposable
McCall, ID
See all hospitals reporting HCPCS A4564 →Price type
St Luke's McCall, LTD’s median price of $123 is 492% above the median hospital's median price ($21), higher than 90% of the 147 hospitals reporting HCPCS A4564. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 12 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 | Molina hb mccall molina mmcp percent of total billed charges · bothfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 2 | Regence hb mccall medicare advantage percent of total billed charges · bothfrom % of charges | $80 | $80 | — | — | — | $80 – $80 |
| 3 | Blue Cross Blue Shield hb mccall bci true & secure med adv percent of total billed charges · bothfrom % of charges | $81 | $81 | — | — | — | $81 – $81 |
| 4 | Molina hb mccall molina med adv percent of total billed charges · bothfrom % of charges | $82 | $82 | — | — | — | $82 – $82 |
| 5 | Aetna hb mccall aetna med adv percent of total billed charges · bothfrom % of charges | $88 | $88 | — | — | — | $88 – $88 |
| 6 | Bcbs Id hb mccall bci percent of total billed charges · bothfrom % of charges | $121 | $121 | — | — | — | $121 – $121 |
| 7 | Blue Cross Blue Shield hb mccall bci percent of total billed charges · bothfrom % of charges | $121 | $121 | — | — | — | $121 – $121 |
| 8 | Aetna hb mccall aetna trinity health (st al's) percent of total billed charges · bothfrom % of charges | $124 | $124 | — | — | — | $124 – $124 |
| 9 | Cigna hb mccall cigna percent of total billed charges · bothfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 10 | Aetna hb mccall bp aetna percent of total billed charges · bothfrom % of charges | $131 | $131 | — | — | — | $131 – $131 |
| 11 | First Health hb mccall first choice health percent of total billed charges · bothfrom % of charges | $131 | $131 | — | — | — | $131 – $131 |
| 12 | UnitedHealthcare hb mccall united healthcare percent of total billed charges · bothfrom % of charges | $132 | $132 | — | — | — | $132 – $132 |
Last updated: Mar 25, 2026
See Disposable pessary (any type) pricing across every hospital in the network reporting it, or ask Claude or any MCP client directly — see how to connect.