CPT 56405 Surgery - Female Genital
I&d vulva/perineal abscess Cost
Body System: Reproductive
Medicare Facility Rate
$117
CMS PFS CY2026
Medicare Non-Facility Rate
$146
Office/clinic setting
Hospital Outpatient
$311
OPPS rate
Surgery Center (ASC)
$89
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.45
Work RVU
1.79
Facility PE RVU
0.26
Malpractice RVU
4.37
Total RVU
Frequently Asked Questions
How much does I&d vulva/perineal abscess cost?
The Medicare facility rate is $117. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $311. Ambulatory surgery center rate: $89.
How much does I&d vulva/perineal abscess cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $117.