Biopsy of growth of external female genitals, first growth
Medicare pricing data for 15,810 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Biopsy of growth of external female genitals, first growth (HCPCS code 56605) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $83.68, but hospitals typically charge $301.92 — a 3.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $83.68, your out-of-pocket cost would be approximately $16.74. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 3.6x more than what Medicare allows for this procedure. Medicare actually pays $61.18 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| District of Columbia | $100 | $257 | 61 | 97 | +19.3% |
| Hawaii | $100 | $242 | 43 | 66 | +19.0% |
| New Jersey | $98 | $375 | 464 | 914 | +17.2% |
| New York | $97 | $466 | 1,044 | 1,922 | +15.4% |
| Connecticut | $94 | $339 | 214 | 348 | +12.3% |
| Maryland | $93 | $265 | 361 | 678 | +10.5% |
| Alaska | $92 | $942 | 48 | 84 | +10.3% |
| California | $91 | $330 | 1,203 | 2,234 | +9.2% |
| Nevada | $91 | $234 | 105 | 162 | +9.1% |
| Wyoming | $91 | $346 | 34 | 65 | +9.0% |
| Puerto Rico | $91 | $190 | 11 | 15 | +8.8% |
| Florida | $87 | $351 | 1,167 | 2,231 | +3.8% |
| Massachusetts | $87 | $291 | 539 | 1,097 | +3.5% |
| Illinois | $86 | $328 | 682 | 1,214 | +2.3% |
| Virginia | $85 | $247 | 480 | 840 | +1.9% |
| Georgia | $85 | $285 | 407 | 705 | +1.0% |
| Pennsylvania | $84 | $268 | 768 | 1,433 | +0.9% |
| Colorado | $84 | $239 | 260 | 450 | +0.5% |
| Delaware | $84 | $232 | 73 | 150 | -0.2% |
| Oregon | $83 | $295 | 236 | 380 | -1.0% |
| Texas | $83 | $278 | 918 | 1,456 | -1.3% |
| Washington | $82 | $278 | 347 | 573 | -2.0% |
| Arizona | $82 | $210 | 315 | 602 | -2.3% |
| Utah | $81 | $209 | 84 | 125 | -3.5% |
| South Carolina | $81 | $338 | 269 | 461 | -3.5% |
| North Carolina | $80 | $278 | 591 | 1,010 | -5.0% |
| Alabama | $79 | $250 | 212 | 341 | -5.5% |
| Mississippi | $79 | $296 | 138 | 250 | -5.7% |
| Indiana | $79 | $273 | 360 | 643 | -6.1% |
| Rhode Island | $78 | $235 | 80 | 141 | -6.7% |
| Missouri | $78 | $232 | 323 | 551 | -6.8% |
| Michigan | $78 | $217 | 521 | 836 | -7.2% |
| Arkansas | $78 | $208 | 141 | 277 | -7.2% |
| Ohio | $77 | $257 | 586 | 930 | -7.9% |
| Oklahoma | $77 | $211 | 192 | 349 | -8.0% |
| New Hampshire | $77 | $261 | 106 | 198 | -8.2% |
| Montana | $77 | $204 | 74 | 147 | -8.5% |
| Tennessee | $77 | $230 | 375 | 680 | -8.5% |
| Louisiana | $76 | $283 | 195 | 325 | -8.7% |
| Minnesota | $74 | $354 | 322 | 473 | -11.5% |
| Kentucky | $74 | $223 | 204 | 352 | -11.6% |
| Nebraska | $72 | $258 | 128 | 266 | -13.7% |
| Kansas | $71 | $340 | 170 | 318 | -14.7% |
| New Mexico | $71 | $251 | 82 | 140 | -15.1% |
| Iowa | $71 | $305 | 182 | 312 | -15.4% |
| Wisconsin | $70 | $494 | 282 | 487 | -15.9% |
| Idaho | $70 | $188 | 80 | 112 | -16.1% |
| West Virginia | $69 | $238 | 89 | 196 | -17.7% |
| North Dakota | $68 | $268 | 45 | 83 | -19.3% |
| Maine | $67 | $190 | 78 | 146 | -19.9% |
| Vermont | $66 | $204 | 44 | 128 | -21.7% |
| South Dakota | $60 | $136 | 69 | 130 | -28.4% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber