SciMed for Urogynecology Practices — Direct Silicone Ring Pessaries, Volume Pricing, Net-30

SciMed for Urogynecology / FPMRS Practices

FDA-cleared silicone ring pessaries at $49.99 direct — dropping to $37.49 at the 25-unit tier. Full US size range 0–9. Free 7-piece Clinical Fitting Kit ($259.99 value) on first $1,000+ order. Net-30 terms, HCPCS A4562, CPT 57160/57170 billing pass-through.

Request FPMRS practice quote →

Urogynecology practices run the highest pessary volume in US medicine — dedicated fitting rooms, established recall cycles, mixed ring + Gellhorn inventories. Traditional distributor channels (Milex, Bioteque, CooperSurgical) price a silicone ring at $80–$150 per unit before your practice bills. SciMed manufactures the same class of device (FDA Class II, 21 CFR 884.5350, Product Code HHN) and ships direct at $49.99 base, dropping to $37.49 at the 25-unit tier. Wholesale margin stays inside the practice.

Built for the pessary clinic workflow

💰 Direct-to-practice pricing

$49.99 base per ring pessary. Volume tiers to 25%+ off. No distributor markup.

🔬 USP Class VI silicone

Medical-grade platinum-cured silicone. Latex-free. Autoclavable to 134°C.

📏 Full US size range 0–9

10 sizes from 44–102 mm. Widest range in US direct-to-practice.

🚚 Same-day US ship

Orders before 2 PM PT ship from San Jose. UPS Ground reaches most US practices in 2–4 days.

🎁 Free 7-piece Clinical Kit

$259.99 Clinical Fitting Kit (sizes 2–6) free with first $1,000+ practice order.

📅 Net-30 terms

Standard Net-30 after credit application + tax-ID verification. No annual minimums.

📄 HCPCS A4562 receipts

Every invoice carries A4562 line coding + lot numbers for clean Medicare Part B or commercial claims.

🤝 Dedicated FPMRS rep

One US-based account contact per practice. No call queue for clinical or ops questions.

Volume pricing for pessary clinics

Order quantity Price per pessary Discount
1–4 units $49.99 Practice list
5–9 units $42.49 Save 15%
10–24 units $39.99 Save 20%
25–49 units $37.49 Save 25%
50+ units Custom Annual agreements available

SciMed silicone ring pessary size reference (0–9)

Diameters match the US pessary sizing convention used by Milex + Bioteque so existing patient records translate 1:1:

Size Diameter Typical clinical indication
0 44 mm (1.75") Rare. Nulliparous, atrophic vagina, or narrow introitus post-radiation
1 51 mm (2.00") Post-menopausal atrophic vagina, stage I anterior wall descent
2 57 mm (2.25") Mild anterior compartment prolapse; smaller-frame patients
3 64 mm (2.50") Stage I–II anterior or apical prolapse. Common starting size
4 70 mm (2.75") Stage II cystocele, mild uterine descent. Very common fit
5 76 mm (3.00") Most-fitted size in US urogyn practices. Moderate stage II–III POP
6 83 mm (3.25") Moderate-to-advanced POP, high-parity patients, larger BMI cohort
7 89 mm (3.50") Stage III uterine or vault prolapse. Consider ring-with-support variant
8 95 mm (3.75") Stage III–IV prolapse; patients who declined or deferred surgery
9 102 mm (4.00") Very lax pelvic floor. Rare; often signals Gellhorn or surgical evaluation

Billing — CPT + HCPCS + ICD-10

  • CPT 57160 — Fitting and insertion of pessary or other intravaginal support device (initial fit and size changes)
  • CPT 57170 — Diaphragm or cervical cap fitting with instructions (some practices use for periodic clean-and-replacement encounters; verify with regional MAC LCD)
  • HCPCS A4562 — Pessary, non-rubber, any type (supply pass-through)
  • Medicare Part B (2026 CMS DMEPOS): A4562 allowable $69–$89 by MAC. SciMed direct at $49.99 = favorable margin for DME-credentialed practices
  • ICD-10: N81.10 (cystocele unspecified), N81.11 (cystocele midline), N81.2 (incomplete uterovaginal prolapse), N81.3 (complete uterovaginal prolapse), N81.4 (uterovaginal prolapse unspecified), N81.6 (rectocele), N81.85 (cervical stump prolapse), N39.3 (stress urinary incontinence)

Peer-reviewed evidence base

  • TOPSY RCT (2024) — Bugge C et al. Self-management vs clinic-based care for POP. NCBI NBK603994. Non-inferiority of structured patient self-management.
  • Silicone vs PVC RCT (Int Urogynecol J, 2024) — DOI 10.1007/s00192-024-05933-x. Silicone users more successfully self-manage than PVC.
  • AUGS-SUNA 2023 Consensus on pessary care cadence + nurse-led follow-up.
  • AUGS 2024 Position Statement endorsing structured patient self-management.
  • ACOG Practice Bulletin 214 — pessary as first-line for symptomatic POP.

🔮 Coming Q1 2027 — SciMed Silicone Gellhorn

The next SciMed addition: a silicone Gellhorn pessary for advanced stage III–IV apical prolapse where a ring is not retained. We're opening a limited clinical feedback panel for board-certified urogynecologists ahead of general availability — panel members receive early samples, participate in size-set validation, and shape the final packaging.

Join the Silicone Gellhorn clinical panel →

Request a Practice Quote or Net-30 Terms

Send projected annual volume, preferred size mix, NPI, and shipping address. Quote returned within 1 business day with per-unit price sheet, sample invoice, and Certificate of Analysis for current lot.

Email sales@scimedstore.com →

Frequently asked questions

Which CPT code for a SciMed pessary fitting?

CPT 57160 for fitting and insertion. E/M code with modifier 25 if separately identifiable evaluation. Periodic clean-and-replacement often billed under CPT 57170 — verify with regional MAC LCD.

How does HCPCS A4562 pass-through billing work?

Device billed under A4562. Practices credentialed as DME suppliers bill A4562 directly to Medicare Part B or commercial. Practices without DME PTAN dispense and issue lot-numbered receipt for patient reimbursement. Both pathways supported by SciMed invoicing.

Do SciMed pessaries integrate with teleurogyn follow-up?

Yes. Many partner practices dispense a fitted pessary and shift 3-month clean-and-check to telehealth (CPT 99213/99214 + telehealth modifier). Patients on structured self-management remove-clean-reinsert per AUGS 2024 guidance; practice retains annual in-office pelvic exam.

Provider-dispensed or supplier-shipped fulfillment?

Both. Default is bulk shipment to practice. On request we drop-ship lot-labeled units to patients when practice provides sizing decision. Drop-ship carries small handling fee.

Are SciMed pessaries treated equivalently by malpractice carriers vs Milex/Bioteque?

Yes. FDA-cleared Class II under 21 CFR 884.5350, same QMS traceability. K-number and Certificate of Analysis provided for credentialing review.

Is SciMed on Vizient / Premier / HealthTrust GPO agreements?

Onboarding into select GPO catalogs 2026–2027. Direct pricing typically comes in below GPO tiers on per-unit basis. Ask your rep for side-by-side vs current GPO pricing on A4562.

Can we get evaluation units before a stocking order?

Yes. Verified FPMRS practices may request up to 3 evaluation units at list price with 30-day return window if fit not clinically acceptable. Returns must be unused in original packaging.

What does the Net-30 credit application require?

Practice legal name, tax ID (EIN), billing address, primary AP contact, 2 commercial references (distributor, lab, pharmacy). No personal guarantees for established practices. 3–5 business day turnaround.

Return + defect policy on practice orders?

Unopened, unused stocking units returnable within 30 days for restock credit less small handling fee. Manufacturing defects replaced free with expedited shipping. No generalized money-back guarantees on used clinical inventory.

Can we request custom labeling or private-label?

Not on standard-run inventory. Private-label runs considered for annual commitments above 500 units per SKU. Email sales@scimedstore.com with projected volume.

Direct FPMRS sales desk

One named US-based rep per practice. Replies within 1 business day. Include NPI + projected volume for fastest routing.

+1-669-265-9353 (Mon–Fri, 9 AM–5 PM Pacific)

SciMed Scientific Equipment LLC · 4607 Black River Ct, San Jose, CA 95136

📖 Related reading for FPMRS practices

Regulatory + clinical disclaimer: SciMed silicone ring pessaries are FDA-cleared Class II medical devices intended for use under supervision of a licensed healthcare provider. Fitting, sizing, and follow-up should be conducted by a qualified clinician per AUGS, SUFU, and ACOG guidance. Reimbursement rates, HCPCS coverage, and CPT policy are summarized from public sources as of publication date and are subject to change. SciMed does not guarantee patient outcomes and does not offer generalized money-back guarantees on used clinical inventory.