Price Checker / CPT 56805
How much does Clitoroplasty Intersex State cost?
CPT 56805 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 15x the fair price — among the most extreme markups. Dispute this.
Fair price
$3,200–$3,750
What this should cost
With insurance
~$3,150
Typical out-of-pocket
Overcharged if over
$4,700
Push back above this
The average hospital charge of $52,309 is $48,809 over the fair price (about 15x the fair rate).
What hospitals charge for Clitoroplasty Intersex State
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Los Alamos Medical Center LOS ALAMOS, NY | $52,309 | — | 5008% |
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 Clitoroplasty Intersex State
CPT code 56805 refers to clitoroplasty intersex state (billing description: "Clitoroplasty intersex state"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $1,024 in a facility (hospital or surgery center) and $1,024 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.