Procedure price report · Other diagnostic procedures, female organs

Biopsy of vulva or perineum, each extra lesion

CPT code CPT 56606the billing code this page is about

Billed once for each additional spot sampled beyond the first during the same visit; the first lesion is billed separately.

Hospitals typically charge $157 cash for this outpatient procedure — the median across 1,130 hospitals that filed a usable cash price; the average of the middle 60% is $237. Most fall between $58 and $755 (20th–80th percentile).

Hospitals
1,130
States
50
Filings dated
Dec 2023 – 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 1,130 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
$37$66$157$560$1,524

The most expensive tenth of hospitals charges at least 41× what the cheapest tenth charges ($37 vs $1,524).

How the prices are spread

$25 – $39: 83 hospitals$25$39 – $62: 133 hospitals$62 – $98: 149 hospitals$62$98 – $155: 147 hospitals$155 – $245: 106 hospitals$155$245 – $387: 90 hospitals$387 – $612: 116 hospitals$387$612 – $968: 76 hospitals$968 – $1,532: 70 hospitals$968$1,532 – $2,423: 58 hospitals$1,532median $157price bands are equal on a log scale
Hospitals per price band (1,028 of 1,130 — the bands cover the 5th to 95th percentile)
FromToHospitals
$25$3983
$39$62133
$62$98149
$98$155147
$155$245106
$245$38790
$387$612116
$612$96876
$968$1,53270
$1,532$2,42358

By state

The median cash price in each state, against the national median of $157.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $51 across 11 hospitalsME$51Vermont: median $93 across 11 hospitalsVT$93New Hampshire: median $70 across 11 hospitalsNH$70Washington: median $144 across 36 hospitalsWA$144Idaho: median $375 across 13 hospitalsID$375Montana: median $63 across 14 hospitalsMT$63North Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $244 across 39 hospitalsMN$244Illinois: median $163 across 50 hospitalsIL$163Wisconsin: median $121 across 55 hospitalsWI$121Michigan: median $66 across 59 hospitalsMI$66New York: median $149 across 53 hospitalsNY$149Massachusetts: median $151 across 24 hospitalsMA$151Oregon: median $69 across 28 hospitalsOR$69Nevada: 4 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $103 across 11 hospitalsSD$103Iowa: median $96 across 46 hospitalsIA$96Indiana: median $67 across 33 hospitalsIN$67Ohio: median $484 across 59 hospitalsOH$484Pennsylvania: median $101 across 45 hospitalsPA$101New Jersey: median $3,209 across 27 hospitalsNJ$3,209Connecticut: median $222 across 10 hospitalsCT$222Rhode Island: 4 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $784 across 74 hospitalsCA$784Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $72 across 28 hospitalsCO$72Nebraska: median $110 across 16 hospitalsNE$110Missouri: median $432 across 29 hospitalsMO$432Kentucky: median $62 across 10 hospitalsKY$62West Virginia: median $144 across 25 hospitalsWV$144Virginia: median $783 across 25 hospitalsVA$783Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 2 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $1,664 across 11 hospitalsAZ$1,664New Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $67 across 20 hospitalsKS$67Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $38 across 13 hospitalsTN$38North Carolina: median $154 across 34 hospitalsNC$154South Carolina: median $398 across 21 hospitalsSC$398Oklahoma: median $48 across 12 hospitalsOK$48Louisiana: median $128 across 20 hospitalsLA$128Mississippi: 9 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: median $910 across 11 hospitalsAL$910Georgia: median $2,159 across 22 hospitalsGA$2,159Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $465 across 34 hospitalsTX$465Florida: median $637 across 26 hospitalsFL$637
Cash price by state, most expensive first. National median $157. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ27$3,209+1950%$1,210 – $5,339
Georgia GA22$2,159+1280%$834 – $4,609
Arizona AZ11$1,664+963%$165 – $1,664
Alabama AL11$910+481%$51 – $1,995
California CA74$784+401%$143 – $972
Virginia VA25$783+401%$116 – $1,073
Florida FL26$637+307%$67 – $1,524
Ohio OH59$484+209%$142 – $1,365
Texas TX34$465+197%$75 – $574
Missouri MO29$432+176%$107 – $2,307
South Carolina SC21$398+155%$109 – $398
Idaho ID13$375+140%$81 – $2,423
Minnesota MN39$244+56%$65 – $563
Connecticut CT10$222+42%$155 – $755
Illinois IL50$163+4%$60 – $1,287
North Carolina NC34$154−2%$47 – $291
Massachusetts MA24$151−4%$41 – $406
New York NY53$149−5%$44 – $615
West Virginia WV25$144−8%$31 – $176
Washington WA36$144−8%$61 – $685
Louisiana LA20$128−18%$80 – $550
Wisconsin WI55$121−23%$72 – $215
Nebraska NE16$110−30%$94 – $417
South Dakota SD11$103−34%$103 – $154
Pennsylvania PA45$101−36%$18 – $368
Iowa IA46$96−39%$61 – $188
Vermont VT11$93−41%$41 – $204
Colorado CO28$72−54%$65 – $207
New Hampshire NH11$70−55%$35 – $163
Oregon OR28$69−56%$58 – $313
Kansas KS20$67−57%$44 – $149
Indiana IN33$67−57%$48 – $167
Michigan MI59$66−58%$25 – $531
Montana MT14$63−60%$36 – $119
Kentucky KY10$62−61%$48 – $241
Maine ME11$51−67%$37 – $83
Oklahoma OK12$48−69%$48 – $48
Tennessee TN13$38−76%$35 – $190
Alaska AK9not enough hospitals filed a usable price
Mississippi MS9not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Rhode Island RI4not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Delaware DE2not 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 $157.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care836$242$61 – $972
Children’s17fewer than 20 hospitals
Critical access274$87$44 – $194
Ownership
For-profit63$375$60 – $1,869
Government197$112$57 – $560
Non-profit867$176$58 – $774
System affiliation
Part of a system916$182$60 – $784
Independent214$101$53 – $384

Cash price vs list price

Median list price (chargemaster)$268
Median cash price$157
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

773 hospitals filed a usable inpatient cash price for this code. The median is $194 and the average of the middle 60% is $244; most fall between $64 and $694.

Cash price percentiles, inpatient, across 773 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
$44$70$194$527$1,073

The most expensive tenth of hospitals charges at least 24× what the cheapest tenth charges ($44 vs $1,073).

Of the 834 hospitals that filed this code inpatient, 773 gave a usable cash price; 21 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 40 a list price only.

How complete is this

1,130 of the 3,956 hospitals with a price file in our corpus (29%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,267 hospitals that filed this code at all gave us
Usable cash price — counted1,130
Cash price carrying a plausibility flag — shown on the compare tool, excluded here56
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded79
Hospitals that filed this code1,267

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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.

Hospitals file this code under descriptions such as Biopsy Vulva/Perineum Each Addl Lesion.

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 vulva or perineum, each extra lesion (CPT 56606) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-56606-biopsy-of-vulva-or-perineum-each-extra-lesion