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Procedure price report · Other diagnostic procedures, female organs

Biopsy of the vulva or perineum, one lesion

CPT 56605the billing code this page is about

Removal of a small tissue sample from one spot on the vulva or the skin between the vulva and anus for laboratory examination.

Hospitals typically charge $619 cash for this outpatient procedure — the median across 1,633 hospitals that filed a usable cash price; the average of the middle 60% is $699. Most fall between $158 and $1,775 (20th–80th percentile).

Hospitals
1,633
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,633 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$103$194$619$1,452$2,641

The most expensive tenth of hospitals charges at least 26× what the cheapest tenth charges ($103 vs $2,641).

How the prices are spread

$69 – $106: 90 hospitals$69$106 – $161: 164 hospitals$161 – $245: 170 hospitals$161$245 – $374: 154 hospitals$374 – $569: 134 hospitals$374$569 – $868: 159 hospitals$868 – $1,322: 251 hospitals$868$1,322 – $2,014: 152 hospitals$2,014 – $3,069: 141 hospitals$2,014$3,069 – $4,677: 58 hospitals$3,069median $619price bands are equal on a log scale
Hospitals per price band (1,473 of 1,633 — the bands cover the 5th to 95th percentile)
FromToHospitals
$69$10690
$106$161164
$161$245170
$245$374154
$374$569134
$569$868159
$868$1,322251
$1,322$2,014152
$2,014$3,069141
$3,069$4,67758

Against Medicare

Medicare pays (OPPS 2026, national rate)$941
Median cash price$619
Cash as a multiple of Medicare0.66×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $619.

Alaska: median $559 across 13 hospitalsAK$559Maine: median $240 across 15 hospitalsME$240Vermont: median $190 across 12 hospitalsVT$190New Hampshire: median $141 across 13 hospitalsNH$141Washington: median $540 across 53 hospitalsWA$540Idaho: median $369 across 14 hospitalsID$369Montana: median $173 across 19 hospitalsMT$173North Dakota: median $747 across 11 hospitalsND$747Minnesota: median $262 across 52 hospitalsMN$262Illinois: median $635 across 67 hospitalsIL$635Wisconsin: median $248 across 68 hospitalsWI$248Michigan: median $664 across 69 hospitalsMI$664New York: median $1,030 across 89 hospitalsNY$1,030Massachusetts: median $930 across 32 hospitalsMA$930Oregon: median $174 across 42 hospitalsOR$174Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $266 across 16 hospitalsSD$266Iowa: median $223 across 53 hospitalsIA$223Indiana: median $214 across 35 hospitalsIN$214Ohio: median $985 across 76 hospitalsOH$985Pennsylvania: median $562 across 74 hospitalsPA$562New Jersey: median $1,162 across 47 hospitalsNJ$1,162Connecticut: median $1,325 across 13 hospitalsCT$1,325Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,482 across 106 hospitalsCA$1,482Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $357 across 23 hospitalsCO$357Nebraska: median $446 across 31 hospitalsNE$446Missouri: median $1,084 across 45 hospitalsMO$1,084Kentucky: median $146 across 16 hospitalsKY$146West Virginia: median $882 across 30 hospitalsWV$882Virginia: median $779 across 32 hospitalsVA$779Maryland: 6 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 3 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $4,340 across 17 hospitalsAZ$4,340New Mexico: median $1,074 across 10 hospitalsNM$1,074Kansas: median $183 across 36 hospitalsKS$183Arkansas: median $1,619 across 13 hospitalsAR$1,619Tennessee: median $154 across 30 hospitalsTN$154North Carolina: median $315 across 41 hospitalsNC$315South Carolina: median $971 across 27 hospitalsSC$971Oklahoma: median $127 across 22 hospitalsOK$127Louisiana: median $392 across 25 hospitalsLA$392Mississippi: median $180 across 15 hospitalsMS$180Alabama: median $2,395 across 16 hospitalsAL$2,395Georgia: median $986 across 48 hospitalsGA$986Hawaii: median $103 across 10 hospitalsHI$103Texas: median $814 across 82 hospitalsTX$814Florida: median $1,686 across 46 hospitalsFL$1,686
Cash price by state, most expensive first. National median $619. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ17$4,340+601%$625 – $4,340
Alabama AL16$2,395+287%$875 – $7,974
Florida FL46$1,686+172%$674 – $3,254
Arkansas AR13$1,619+161%$183 – $3,632
California CA106$1,482+139%$485 – $2,184
Connecticut CT13$1,325+114%$315 – $1,825
New Jersey NJ47$1,162+88%$964 – $4,627
Missouri MO45$1,084+75%$131 – $3,159
New Mexico NM10$1,074+74%$246 – $2,303
New York NY89$1,030+66%$173 – $2,654
Georgia GA48$986+59%$919 – $2,368
Ohio OH76$985+59%$365 – $2,603
South Carolina SC27$971+57%$573 – $1,567
Massachusetts MA32$930+50%$330 – $2,106
West Virginia WV30$882+42%$171 – $1,411
Texas TX82$814+31%$264 – $1,148
Virginia VA32$779+26%$138 – $1,136
North Dakota ND11$747+21%$219 – $1,090
Michigan MI69$664+7%$71 – $1,266
Illinois IL67$635+3%$192 – $1,881
Pennsylvania PA74$562−9%$131 – $1,472
Alaska AK13$559−10%$251 – $1,494
Washington WA53$540−13%$205 – $1,076
Nebraska NE31$446−28%$232 – $1,279
Louisiana LA25$392−37%$196 – $651
Idaho ID14$369−40%$195 – $2,423
Colorado CO23$357−42%$135 – $2,050
North Carolina NC41$315−49%$314 – $1,022
South Dakota SD16$266−57%$266 – $905
Minnesota MN52$262−58%$133 – $918
Wisconsin WI68$248−60%$158 – $706
Maine ME15$240−61%$153 – $392
Iowa IA53$223−64%$131 – $294
Indiana IN35$214−66%$114 – $784
Vermont VT12$190−69%$69 – $994
Kansas KS36$183−70%$124 – $536
Mississippi MS15$180−71%$151 – $1,227
Oregon OR42$174−72%$110 – $1,892
Montana MT19$173−72%$87 – $273
Tennessee TN30$154−75%$138 – $512
Kentucky KY16$146−76%$98 – $744
New Hampshire NH13$141−77%$69 – $325
Oklahoma OK22$127−79%$127 – $2,658
Hawaii HI10$103−83%$91 – $1,341
Wyoming WY8not enough hospitals filed a usable price
Maryland MD6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
Delaware DE3not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $619.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,212$893$214 – $2,129
Children’s22$490$178 – $1,512
Critical access396$218$113 – $536
Ownership
For-profit126$1,118$356 – $4,900
Government305$314$133 – $1,130
Non-profit1,199$699$167 – $1,809
System affiliation
Part of a system1,326$757$174 – $1,894
Independent307$275$122 – $1,068

Cash price vs list price

Median list price (chargemaster)$931
Median cash price$619
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,099 hospitals filed a usable inpatient cash price for this code. The median is $619 and the average of the middle 60% is $692; most fall between $170 and $1,557.

Cash price percentiles, inpatient, across 1,099 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$114$219$619$1,304$2,184

The most expensive tenth of hospitals charges at least 19× what the cheapest tenth charges ($114 vs $2,184).

Of the 1,175 hospitals that filed this code inpatient, 1,099 gave a usable cash price; 30 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 46 a list price only.

How complete is this

1,633 of the 3,956 hospitals with a price file in our corpus (41%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,770 hospitals that filed this code at all gave us
Usable cash price — counted1,633
Cash price carrying a plausibility flag — shown on the compare tool, excluded here70
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded5
A list price only, no cash figure — excluded62
Hospitals that filed this code1,770

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other diagnostic procedures, female organs family.

Hospitals file this code under descriptions such as Biopsy Vulva/Perineum 1 Lesion Spx.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Biopsy of the vulva or perineum, one lesion (CPT 56605) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-56605-biopsy-of-the-vulva-or-perineum-one-lesion