Price Checker / CPT 57100

How much does Biopsy Vaginal Mucosa Simple cost?

CPT 57100 · Based on 2026 Medicare rates and hospital-published pricing

Severe overcharge

The average hospital charge is around 137x the fair price — among the most extreme markups. Dispute this.

Fair price

$160–$320

What this should cost

With insurance

~$2,350

Typical out-of-pocket

Overcharged if over

$400

Push back above this

The average hospital charge of $32,897 is $32,657 over the fair price (about 137x the fair rate).

What hospitals charge for Biopsy Vaginal Mucosa Simple

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

HospitalGross ChargeCash Ratevs Medicare
John Muir Health Behavioral Health Center

, CA

$51,984$18,42449310%
John Muir Health Concord Medical Center

, CA

$51,984$2,20749310%
John Muir Health Walnut Creek Medical Center

, CA

$51,984$23,39349310%
Highpoint Health - Sewanee with Ascension Saint Thomas

, TN

$47,56645111%
Highpoint Health - Winchester with Ascension Saint Thomas

, TN

$47,56645111%
Centrastate Medical Center

FREEHOLD, NJ

$14,499$4,58513681%
Missouri Baptist Sullivan Hospital

SULLIVAN, MO

$13,338$8,00312578%
Stonewall Jackson Hospital

, WV

$8,884$4,4428344%
Southwestern Medical Center

Lawton, OK

$8,2657756%

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About Biopsy Vaginal Mucosa Simple

CPT code 57100 refers to biopsy vaginal mucosa simple (billing description: "Biopsy vaginal mucosa simple"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $58 in a facility (hospital or surgery center) and $105 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

  1. 1Send us your billwe'll identify this code and compare it against the rates shown above.
  2. 2Get a dispute letterciting the Medicare rate and your hospital's own published pricing data.
  3. 3We negotiate for you25% of savings, no savings = no fee.

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