Price Checker / CPT 56800
How much does Plastic Repair Introitus cost?
CPT 56800 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 64x the fair price — among the most extreme markups. Dispute this.
Fair price
$340–$680
What this should cost
With insurance
~$3,150
Typical out-of-pocket
Overcharged if over
$850
Push back above this
The average hospital charge of $32,515 is $32,005 over the fair price (about 64x the fair rate).
What hospitals charge for Plastic Repair Introitus
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Valley Children's Hospital Madera, CA | — | — | 14216% |
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 Plastic Repair Introitus
CPT code 56800 refers to plastic repair introitus (billing description: "Plastic repair introitus"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $227 in a facility (hospital or surgery center) and $227 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.