Pessary, rubber, any type
Medicare pricing data for 2,547 providers across 47 states
This is a specialized procedure with relatively few Medicare claims. Pricing data may be less reliable due to smaller sample sizes. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Pessary, rubber, any type (HCPCS code A4561) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $26.29, but hospitals typically charge $81.76 — a 3.1x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $26.29, your out-of-pocket cost would be approximately $5.26. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.1x more than what Medicare allows for this procedure. Medicare actually pays $19.21 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| Wyoming | $27 | $161 | 12 | 32 | +3.2% |
| Utah | $27 | $57 | 25 | 57 | +2.9% |
| Alaska | $27 | $96 | 14 | 25 | +2.7% |
| Mississippi | $27 | $61 | 18 | 41 | +2.7% |
| Georgia | $27 | $106 | 67 | 138 | +2.6% |
| New Mexico | $27 | $93 | 22 | 57 | +2.6% |
| North Dakota | $27 | $38 | 8 | 31 | +2.6% |
| Alabama | $27 | $59 | 45 | 87 | +2.6% |
| Tennessee | $27 | $91 | 59 | 244 | +2.5% |
| Florida | $27 | $76 | 154 | 381 | +2.2% |
| Montana | $27 | $86 | 10 | 12 | +2.1% |
| Wisconsin | $27 | $65 | 43 | 149 | +2.1% |
| North Carolina | $27 | $67 | 90 | 164 | +2.1% |
| Texas | $27 | $80 | 153 | 373 | +2.0% |
| Ohio | $27 | $69 | 118 | 303 | +1.8% |
| South Carolina | $27 | $76 | 54 | 126 | +1.7% |
| Kansas | $27 | $64 | 17 | 33 | +1.6% |
| Illinois | $27 | $83 | 97 | 220 | +1.5% |
| Nebraska | $27 | $46 | 9 | 13 | +1.5% |
| Arkansas | $27 | $48 | 30 | 104 | +1.3% |
| Minnesota | $27 | $83 | 47 | 119 | +1.1% |
| Oklahoma | $27 | $66 | 33 | 66 | +1.1% |
| Missouri | $27 | $76 | 46 | 115 | +0.8% |
| Colorado | $26 | $65 | 38 | 155 | +0.7% |
| Michigan | $26 | $81 | 63 | 112 | +0.5% |
| Louisiana | $26 | $77 | 23 | 45 | +0.5% |
| Arizona | $26 | $79 | 25 | 39 | -0.3% |
| Kentucky | $26 | $68 | 49 | 80 | -0.4% |
| Iowa | $26 | $70 | 26 | 49 | -0.5% |
| Oregon | $26 | $68 | 26 | 82 | -0.5% |
| Pennsylvania | $26 | $55 | 134 | 342 | -0.5% |
| Delaware | $26 | $63 | 4 | 15 | -0.7% |
| Indiana | $26 | $55 | 54 | 114 | -0.9% |
| California | $26 | $91 | 280 | 908 | -1.0% |
| Connecticut | $26 | $66 | 58 | 111 | -1.3% |
| Massachusetts | $26 | $70 | 81 | 246 | -1.4% |
| New York | $26 | $118 | 131 | 344 | -1.7% |
| Nevada | $26 | $100 | 38 | 129 | -2.1% |
| Virginia | $26 | $72 | 106 | 285 | -2.2% |
| Idaho | $26 | $54 | 20 | 58 | -2.2% |
| Rhode Island | $26 | $50 | 10 | 22 | -2.2% |
| Maryland | $26 | $68 | 59 | 164 | -2.3% |
| New Hampshire | $26 | $68 | 19 | 44 | -2.6% |
| Washington | $26 | $65 | 26 | 72 | -3.0% |
| New Jersey | $25 | $176 | 62 | 237 | -5.6% |
| Maine | $25 | $61 | 11 | 17 | -6.1% |
| West Virginia | $24 | $110 | 17 | 46 | -7.6% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber