Price Checker / CPT 56606

CPT 56606Biopsy of vulva/perineum

2026 Medicare Physician Fee Schedule rates and hospital pricing data

Medicare Rate (Facility)

$25

What Medicare pays in a hospital/ASC setting

Medicare Rate (Office)

$39

What Medicare pays in a physician's office

Avg Hospital Charge

$6,212

Based on 126 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 56606

From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.

HospitalGross ChargeCash Ratevs Medicare
"Public Hospital District No. 1 of King County

, Washington dba Valley Medical Center"

$18,568$12,99747412%
UC San Diego Jacobs Medical Center

, CA

$17,746$9,76045309%
UC San Diego Moores Medical Center

, CA

$17,746$9,76045309%
UC San Diego Sulpizio Cardiovascular Center

, CA

$17,746$9,76045309%
RAPIDES REGIONAL MEDICAL CENTER

, LA

44388%
Parkland Health Center - Bonne Terre

, MO

$16,816$10,09042930%
MEMORIAL HEALTH MEADOWS HOSPITAL

, GA

40842%
Missouri Baptist Sullivan Hospital

, MO

$15,351$9,21139181%
Parkland Health Center

, MO

$15,351$9,21139181%
"Woman's Hospital"

, CA

$14,887$14,88737994%
Morristown Medical Center

, NJ

$14,809$1,05737793%
Overlook Medical Center

, NJ

$14,809$1,05737793%
Sequoia Hospital

, CA

26522%
Ascension Saint Thomas Rutherford

, TN

23836%
Ascension Saint Thomas Rutherford Westlawn

, TN

23836%

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About CPT 56606

CPT code 56606 refers to “Biopsy of vulva/perineum”. Under the 2026 Medicare Physician Fee Schedule, this procedure is reimbursed at $25 in a facility (hospital or ambulatory surgery center) and $39in 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

  1. Upload your bill— we'll identify this code and compare it against the rates shown above.
  2. Get a dispute letter— citing the Medicare rate and your hospital's own published pricing data.
  3. Negotiate or let us handle it — 25% of savings, no savings = no fee.

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