Price Checker / CPT 56605
CPT 56605 — Biopsy of vulva/perineum
2026 Medicare Physician Fee Schedule rates and hospital pricing data
$52
What Medicare pays in a hospital/ASC setting
$94
What Medicare pays in a physician's office
$10,549
Based on 66 hospital(s) in our database
What do these numbers mean?
The Medicare rateis what the federal government determines is a fair payment for this procedure. It's based on the Relative Value Unit (RVU) system, which accounts for physician work, practice expense, and malpractice cost. Hospitals and providers often charge 3-20x this amount. If your bill is significantly higher than the Medicare rate, you may have grounds to negotiate.
Hospital Charges for CPT 56605
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Phelps Hospital , NY | — | $4,595 | 31810% |
| Los Alamos Medical Center , NY | $27,099 | — | 28877% |
| "Public Hospital District No. 1 of King County , Washington dba Valley Medical Center" | $24,114 | $16,880 | 25685% |
| The Christ Hospital Inpatient Psychiatry , OH | $22,400 | $6,844 | 23852% |
| The Christ Hospital Inpatient Rehab , OH | $22,400 | $6,844 | 23852% |
| The Christ Hospital Liberty , OH | $22,400 | $6,844 | 23852% |
| The Christ Hospital , OH | $22,400 | $6,844 | 23852% |
| Centrastate Medical Center , NJ | $19,170 | $1,057 | 20398% |
| Chilton Medical Center , NJ | $19,170 | $1,057 | 20398% |
| Overlook Medical Center , NJ | $19,170 | $1,057 | 20398% |
| Staten Island University Hospital , NY | — | $4,595 | 19623% |
| Parkland Health Center - Bonne Terre , MO | $15,850 | $9,510 | 16849% |
| Lenox Hill Hospital , NY | — | $4,595 | 16843% |
| "Saint Clare's Behavioral Health - Boonton" , NJ | $15,390 | $1,195 | 16356% |
| "Saint Clare's Denville Hospital" , NJ | $15,390 | $1,195 | 16356% |
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About CPT 56605
CPT code 56605 refers to “Biopsy of vulva/perineum”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $52 in a facility (hospital or ambulatory surgery center) and $94in a non-facility (physician's office) setting.
These rates are set by CMS (Centers for Medicare & Medicaid Services) and represent what the government considers a fair payment for this service. While commercial insurance typically pays somewhat more than Medicare, many hospitals charge significantly higher amounts — sometimes 10-50x the Medicare rate.
What to do if you were overcharged
- Upload your bill— we'll identify this code and compare it against the rates shown above.
- Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
- Negotiate or let us handle it — 25% of savings, no savings = no fee.