CPT 56605 Surgery - Female Genital
Biopsy of vulva/perineum Cost
Body System: Reproductive
Medicare Facility Rate
$52
CMS PFS CY2026
Medicare Non-Facility Rate
$94
Office/clinic setting
Hospital Outpatient
$941
OPPS rate
Surgery Center (ASC)
$52
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
1.07
Work RVU
0.29
Facility PE RVU
0.19
Malpractice RVU
2.80
Total RVU
Frequently Asked Questions
How much does Biopsy of vulva/perineum cost?
The Medicare facility rate is $52. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $941. Ambulatory surgery center rate: $52.
How much does Biopsy of vulva/perineum 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 $52.