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HCPCS A4562

Pessary, reusable, non rubber, any type

Current code30 hospitals with prices

Description from CMS's HCPCS Level II code file.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Capital Medical CenterOlympiaFile dated 2026-08-27—$135 – $183$337 – $458
Cascade Valley HospitalArlington$1,8371 plan$172$215
Deaconess Medical CenterSpokaneFile dated 2026-08-27—$135 – $183$337 – $458
Harborview Medical CenterSeattleFile dated 2026-04-01—$183 – $7,571$262 – $10,815
Island HospitalAnacortes$82.551 plan$127$127
Mary Bridge Children's HospitalTacomaFile dated 2026-08-27—$135 – $183$337 – $458
MultiCare Auburn Medical CenterAuburnFile dated 2026-08-27—$135 – $183$337 – $458
MultiCare Covington Medical CenterCovingtonFile dated 2026-08-27—$135 – $183$337 – $458
MultiCare Good Samaritan HospitalPuyallupFile dated 2026-08-27—$135 – $183$337 – $458
MultiCare Valley HospitalSpokane ValleyFile dated 2026-08-27—$135 – $183$337 – $458
Overlake Hospital Medical Center & ClinicsBellevueFile dated 2026-04-01———
PeaceHealth Peace Island Medical CenterFriday Harbor—$70.64$109
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$284 – $341$406 – $486
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$167 – $200$321 – $386
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$284 – $341$406 – $486
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$267 – $320$382 – $458
Providence Regional Medical Center EverettEverettFile dated 2026-04-01—$178 – $213$341 – $410
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$267 – $320$382 – $458
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$169 – $202$241 – $289
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$167 – $200$321 – $386
Skagit Valley HospitalMount Vernon—$102 – $172$127 – $215
Swedish Edmonds HospitalEdmondsFile dated 2026-04-01—$110 – $132$229 – $275
Swedish IssaquahIssaquahFile dated 2026-04-01—$110 – $132$229 – $275
Swedish Medical CenterSeattleFile dated 2026-04-01—$110 – $132$229 – $275
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$110 – $132$229 – $275
Tacoma General Allenmore HospitalTacomaFile dated 2026-08-27—$135 – $183$337 – $458
University of Washington Medical CtrSeattleFile dated 2026-04-01—$159 – $6,729$226 – $9,613
Virginia Mason Medical CenterSeattle—$77.52 – $112$152 – $220
WhidbeyHealth Medical CenterCoupeville—$91.00$91.00
Yakima Valley MemorialYakimaFile dated 2026-08-27—$58.80 – $119$147 – $298

Lowest and highest amounts each hospital lists for this code as an outpatient, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Equipment fee, Washington
$70.81 (fee)