Price Checker / CPT 56405
How much does I&d Vulva/perineal Abscess cost?
CPT 56405 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 14x the fair price — among the most extreme markups. Dispute this.
Fair price
$600–$700
What this should cost
With insurance
~$2,250
Typical out-of-pocket
Overcharged if over
$880
Push back above this
The average hospital charge of $9,271 is $8,621 over the fair price (about 14x the fair rate).
What hospitals charge for I&d Vulva/perineal Abscess
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Jackson Purchase Medical Center MAYFIELD, KY | $34,804 | — | 23745% |
| McLaren Flint FLINT, MI | $14,813 | $7,406 | 10049% |
| Franciscan Health Olympia Fields , IL | $14,597 | $2,919 | 9901% |
| Centrastate Medical Center FREEHOLD, NJ | $14,243 | $427 | 9658% |
| Carolina Pines Regional Medical Center Hartsville, SC | $10,627 | — | 7181% |
| UPMC Bedford , PA | $6,384 | $5,107 | 4274% |
| UPMC Altoona ALTOONA, PA | $4,814 | $3,851 | 3198% |
| 62-1113167 BMH Tipton , TN | — | — | 3135% |
| UPMC Horizon-Greenville GREENVILLE, PA | $3,887 | $3,110 | 2563% |
| UPMC Horizon GREENVILLE, PA | $3,887 | $3,110 | 2563% |
| UPMC Horizon-Shenango GREENVILLE, PA | $3,887 | $3,110 | 2563% |
| Bradley County Medical Center WARREN, AR | $2,155 | — | 1376% |
| Iroquois Memorial Hospital WATSEKA, IL | $1,698 | $1,189 | 1063% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About I&d Vulva/perineal Abscess
CPT code 56405 refers to i&d vulva/perineal abscess (billing description: "I&d vulva/perineal abscess"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $117 in a facility (hospital or surgery center) and $146 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.