What does code A4264 cost?

Across the published hospital price files, the disclosed cash price for A4264 ranges from $657 to $2,591. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Will this be my final bill?

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

A4264 is the billing code hospitals use to identify "Intratubal occlusion device" on their published price files. We use it to line up the same service across different hospitals.

Why do prices for this code differ between hospitals?

Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.

What this page is not

It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

A4264

HCPCS

Intratubal occlusion device

Verified from hospital fileNot a bill estimate

iDirect answer

Based on the latest published hospital price files, code A4264 (Intratubal occlusion device) appears at 11 hospitals with disclosed cash prices from $657 to $2,591. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Published-price availability

hospitals publish a price

list this service without a published price

Cash

List

Negotiated

Allowed

A blank price (“—”) means a hospital names this service but did not publish a dollar amount — it is not a free service or a $0 price.

Compare A4264 prices

Filter by hospital, city, setting, or payer — the summary and charts update with your filters.

Based on hospital-published prices verified from each hospital’s own file. Coverage expands as data is verified.

Published cash prices for code A4264 vary by about 3.9× across the 8 hospitals with disclosed prices here — from $657 to $2,591. Shopping around can matter.

Hospitals

Prices shown

$657

Lowest cash

$2,591

Highest cash

code A4264 cash price8 disclosed · 8 hospitals

$657median ~$749$2,591

Lowest cash price by hospital

Cash price by city

Reflects your current filters.

Cash price by city$657 – $749

Frankfort · 1 hospital$657
Henderson · 1 hospital$698
Kannapolis · 1 hospital$749
Kings Mountain · 1 hospital$749
Charlotte · 1 hospital$749
Albemarle · 1 hospital$749

11 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
Intratubal occlusion device Outpatient	Endeavor Health Edward Hospital	A4264 HCPCS	—	—	$6,600 – $6,600	—
Hc Implant Contraception Intratubal Occlusion Device Inpatient & outpatient	University of Chicago Medical Center	A4264 HCPCS	—	—	—	—
HC PERM IMPLANT CONTRACEPTIVE INTRATUBAL OCCL DEV Outpatient	Froedtert Hospital	A4264 HCPCS	$4,712	$2,591	$1,413 – $4,146	—
INTRATUBAL OCCLUSION DEVICE(S) Inpatient	Aurora Medical Center Bay Area	A4264 HCPCS	$4,950	$2,475	$2,970 – $4,188	—
KIT APPLIER CLIP FILSHIE STERISHOT81596 Outpatient	Paul Oliver Memorial Hospital	A4264 HCPCS	$774	$657	$240 – $735	—
HC OR 278 A4264 INTRATUBAL DEVICE Inpatient	Henderson Hospital	A4264 HCPCS	$2,325	$698	$674 – $2,255	—
Intratubal occlusion device Outpatient	Texas Health Center for Diagnostics and Surgery Plano	A4264 HCPCS	—	—	$1,400 – $1,512	—
ARM ENDOSCOPE L32 CM 2 INCISION 2 RING APPLICATOR BAND OD8 MM FALOPE-RING Inpatient	Atrium Health Cabarrus	A4264 HCPCS	$1,498	$749	$454 – $1,423	—
ARM ENDOSCOPE L32 CM 2 INCISION 2 RING APPLICATOR BAND OD8 MM FALOPE-RING Inpatient	Atrium Health Cleveland	A4264 HCPCS	$1,498	$749	$454 – $1,423	—
ARM ENDOSCOPE L32 CM 2 INCISION 2 RING APPLICATOR BAND OD8 MM FALOPE-RING Inpatient	Atrium Health Pineville	A4264 HCPCS	$1,498	$749	$454 – $1,378	—
ARM ENDOSCOPE L32 CM 2 INCISION 2 RING APPLICATOR BAND OD8 MM FALOPE-RING Inpatient	Atrium Health Stanly	A4264 HCPCS	$1,498	$749	$454 – $1,438	—

How to read these prices

Cash price: The discounted self-pay price for paying directly, without insurance.
List price: The hospital’s full undiscounted charge — rarely what anyone pays.
Negotiated rate: A rate for a specific insurer and plan; your share depends on your benefits.
Allowed amount: A historical reference for what was actually allowed, where disclosed.

Hospitals that publish A4264 prices

Open a hospital to see this code in the context of its full published prices.

Endeavor Health Edward Hospital University of Chicago Medical Center Froedtert Hospital Aurora Medical Center Bay Area Paul Oliver Memorial Hospital Henderson Hospital Texas Health Center for Diagnostics and Surgery Plano Atrium Health Cabarrus Atrium Health Cleveland Atrium Health Pineville Atrium Health Stanly

Code A4264: frequently asked

What does code A4264 cost?: Across the published hospital price files, the disclosed cash price for A4264 ranges from $657 to $2,591. This is public hospital price transparency data, not a guaranteed estimate of your bill.
Will this be my final bill?: Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
What is code A4264?: A4264 is the billing code hospitals use to identify "Intratubal occlusion device" on their published price files. We use it to line up the same service across different hospitals.
Why do prices for this code differ between hospitals?: Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
What this page is not: It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.

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Hospitals publishing code A4264 by state

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