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Procedure price report · Other diagnostic procedures, female organs

Colposcopy of the vagina with biopsy

CPT 57421the billing code this page is about

Magnified examination of the vaginal lining, and the cervix if present, with removal of one or more tissue samples for testing.

Hospitals typically charge $643 cash for this outpatient procedure — the median across 1,141 hospitals that filed a usable cash price; the average of the middle 60% is $716. Most fall between $263 and $1,591 (20th–80th percentile).

Hospitals
1,141
States
50
Filings dated
Mar 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 1,141 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
$191$310$643$1,269$2,324

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($191 vs $2,324).

How the prices are spread

$128 – $177: 41 hospitals$128$177 – $245: 94 hospitals$245 – $339: 139 hospitals$245$339 – $469: 112 hospitals$469 – $649: 132 hospitals$469$649 – $898: 155 hospitals$898 – $1,243: 111 hospitals$898$1,243 – $1,720: 106 hospitals$1,720 – $2,381: 90 hospitals$1,720$2,381 – $3,296: 48 hospitals$2,381median $643price bands are equal on a log scale
Hospitals per price band (1,028 of 1,141 — the bands cover the 5th to 95th percentile)
FromToHospitals
$128$17741
$177$24594
$245$339139
$339$469112
$469$649132
$649$898155
$898$1,243111
$1,243$1,720106
$1,720$2,38190
$2,381$3,29648

Against Medicare

Medicare pays (OPPS 2026, national rate)$941
Median cash price$643
Cash as a multiple of Medicare0.68×

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 $643.

Alaska: 9 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 8 hospitals filed a usable price — fewer than 10, so no figureMEVermont: median $256 across 10 hospitalsVT$256New Hampshire: median $193 across 10 hospitalsNH$193Washington: median $342 across 31 hospitalsWA$342Idaho: median $1,228 across 13 hospitalsID$1,228Montana: 9 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 6 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $622 across 47 hospitalsMN$622Illinois: median $606 across 36 hospitalsIL$606Wisconsin: median $453 across 55 hospitalsWI$453Michigan: median $677 across 56 hospitalsMI$677New York: median $1,030 across 60 hospitalsNY$1,030Massachusetts: median $797 across 31 hospitalsMA$797Oregon: median $370 across 29 hospitalsOR$370Nevada: 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 $905 across 11 hospitalsSD$905Iowa: median $418 across 42 hospitalsIA$418Indiana: median $554 across 28 hospitalsIN$554Ohio: median $1,446 across 58 hospitalsOH$1,446Pennsylvania: median $825 across 52 hospitalsPA$825New Jersey: median $1,162 across 41 hospitalsNJ$1,162Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,950 across 73 hospitalsCA$1,950Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $500 across 12 hospitalsCO$500Nebraska: median $357 across 22 hospitalsNE$357Missouri: median $998 across 21 hospitalsMO$998Kentucky: 9 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: median $883 across 22 hospitalsWV$883Virginia: median $247 across 20 hospitalsVA$247Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: median $4,276 across 13 hospitalsAZ$4,276New Mexico: 4 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $523 across 19 hospitalsKS$523Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $247 across 16 hospitalsTN$247North Carolina: median $619 across 31 hospitalsNC$619South Carolina: median $895 across 28 hospitalsSC$895Oklahoma: median $202 across 14 hospitalsOK$202Louisiana: median $291 across 22 hospitalsLA$291Mississippi: 8 hospitals filed a usable price — fewer than 10, so no figureMSAlabama: 9 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: median $810 across 36 hospitalsGA$810Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $813 across 39 hospitalsTX$813Florida: median $1,066 across 38 hospitalsFL$1,066
Cash price by state, most expensive first. National median $643. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ13$4,276+565%$777 – $4,276
California CA73$1,950+203%$796 – $2,324
Ohio OH58$1,446+125%$544 – $2,603
Idaho ID13$1,228+91%$369 – $2,423
New Jersey NJ41$1,162+81%$965 – $4,627
Florida FL38$1,066+66%$261 – $1,920
New York NY60$1,030+60%$254 – $1,733
Missouri MO21$998+55%$242 – $1,714
South Dakota SD11$905+41%$620 – $1,601
South Carolina SC28$895+39%$617 – $1,829
West Virginia WV22$883+37%$347 – $1,256
Pennsylvania PA52$825+28%$150 – $1,452
Texas TX39$813+26%$322 – $940
Georgia GA36$810+26%$810 – $1,148
Massachusetts MA31$797+24%$398 – $1,411
Michigan MI56$677+5%$121 – $1,266
Minnesota MN47$622−3%$288 – $710
North Carolina NC31$619−4%$315 – $645
Illinois IL36$606−6%$218 – $1,431
Indiana IN28$554−14%$218 – $895
Kansas KS19$523−19%$296 – $2,318
Colorado CO12$500−22%$278 – $1,108
Wisconsin WI55$453−30%$301 – $680
Iowa IA42$418−35%$265 – $468
Oregon OR29$370−42%$270 – $2,241
Nebraska NE22$357−44%$185 – $788
Washington WA31$342−47%$327 – $1,300
Louisiana LA22$291−55%$225 – $750
Vermont VT10$256−60%$114 – $594
Tennessee TN16$247−62%$161 – $271
Virginia VA20$247−62%$124 – $1,290
Oklahoma OK14$202−69%$202 – $1,775
New Hampshire NH10$193−70%$139 – $350
Alaska AK9not enough hospitals filed a usable price
Alabama AL9not enough hospitals filed a usable price
Kentucky KY9not enough hospitals filed a usable price
Montana MT9not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Maine ME8not enough hospitals filed a usable price
Mississippi MS8not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
North Dakota ND6not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
New Mexico NM4not enough hospitals filed a usable price
Nevada NV4not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Delaware DE1not 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 $643.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care857$804$292 – $1,875
Children’s17fewer than 20 hospitals
Critical access265$418$218 – $764
Ownership
For-profit75$711$246 – $1,888
Government212$553$267 – $992
Non-profit852$711$263 – $1,673
System affiliation
Part of a system931$711$271 – $1,652
Independent210$471$234 – $1,126

Cash price vs list price

Median list price (chargemaster)$958
Median cash price$643
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

760 hospitals filed a usable inpatient cash price for this code. The median is $652 and the average of the middle 60% is $751; most fall between $278 and $1,652.

Cash price percentiles, inpatient, across 760 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
$202$317$652$1,431$2,324

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($202 vs $2,324).

Of the 813 hospitals that filed this code inpatient, 760 gave a usable cash price; 24 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 29 a list price only.

How complete is this

1,141 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 1,237 hospitals that filed this code at all gave us
Usable cash price — counted1,141
Cash price carrying a plausibility flag — shown on the compare tool, excluded here54
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded40
Hospitals that filed this code1,237

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 Colposcopy Entire Vagina W/Vagina/Cervix Bx.

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, “Colposcopy of the vagina with biopsy (CPT 57421) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-57421-colposcopy-of-the-vagina-with-biopsy