CPT 57421 Surgery - Female Genital
Exam/biopsy of vag w/scope Cost
Body System: Reproductive
Medicare Facility Rate
$109
CMS PFS CY2026
Medicare Non-Facility Rate
$182
Office/clinic setting
Hospital Outpatient
$941
OPPS rate
Surgery Center (ASC)
$97
ASC rate
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
2.15
Work RVU
0.70
Facility PE RVU
0.42
Malpractice RVU
5.45
Total RVU
Frequently Asked Questions
How much does Exam/biopsy of vag w/scope cost?
The Medicare facility rate is $109. Commercial insurance typically pays 150-250% of Medicare rates (varies). Hospital outpatient rate: $941. Ambulatory surgery center rate: $97.
How much does Exam/biopsy of vag w/scope 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 $109.