Incision and drainage of vulva or perineum at AMH Cath Labs LLC

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-haiku-5-5
Provider: anthropic
API: message_batches
Reasoning effort: low
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

56405 I&DVULVA/PERINEAL ABSCS

Arlington, TX

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Pricing by billing methodology

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How this price compares nationally

AMH Cath Labs LLC’s median price of $322 is 17% below the median hospital's median price ($387), higher than 34% of the 2,373 hospitals reporting CPT 56405. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 56405 at AMH Cath Labs LLC

Negotiated rates from the hospital’s own file: 9 payers, 35 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Blue Cross Blue Shield managed medicaid fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
2	UnitedHealthcare managed medicaid fee schedule · outpatient	$76	$76	—	—	—	$76 – $76
3	WellCare managed medicaid fee schedule · outpatient	$79	$79	—	—	—	$79 – $79
4	Blue Cross Blue Shield exchange case rate · outpatient	$81	$81	—	—	—	$81 – $81
5	Molina managed medicaid fee schedule · outpatient	$82	$82	—	—	—	$82 – $82
6	Aetna managed medicaid fee schedule · outpatient	$83	$83	—	—	—	$83 – $83
7	Blue Cross Blue Shield exchange percent of total billed charges · outpatientfrom % of charges	$162	$162	—	—	—	$162 – $162
8	Blue Cross Blue Shield hmo case rate · outpatient	$165	$165	—	—	—	$165 – $165
9	Blue Cross Blue Shield ppo case rate · outpatient	$183	$183	—	—	—	$183 – $183
10	Aetna whole health percent of total billed charges · outpatientfrom % of charges	$217	$217	—	—	—	$217 – $217
11	Cigna oap/hmo percent of total billed charges · outpatientfrom % of charges	$283	$283	—	—	—	$283 – $283
12	Aetna commercial percent of total billed charges · outpatientfrom % of charges	$289	$289	—	—	—	$289 – $289
13	Blue Cross Blue Shield medicare advantage case rate · outpatient	$307	$307	—	—	—	$307 – $307
14	Humana medicare advantage case rate · outpatient	$319	$319	—	—	—	$319 – $319
15	Humana medicare advantage ppo case rate · outpatient	$319	$319	—	—	—	$319 – $319
16	Molina medicare advantage case rate · outpatient	$322	$322	—	—	—	$322 – $322
17	WellCare medicare advantage hmo case rate · outpatient	$322	$322	—	—	—	$322 – $322
18	Blue Cross Blue Shield hmo percent of total billed charges · outpatientfrom % of charges	$325	$325	—	—	—	$325 – $325
19	Blue Cross Blue Shield ppo percent of total billed charges · outpatientfrom % of charges	$325	$325	—	—	—	$325 – $325
20	WellCare medicare advantage mmp case rate · outpatient	$337	$337	—	—	—	$337 – $337
21	UnitedHealthcare medicare advantage ppo case rate · outpatient	$340	$340	—	—	—	$340 – $340
22	UnitedHealthcare medicare advantage hmo case rate · outpatient	$346	$346	—	—	—	$346 – $346
23	Phcs ppo percent of total billed charges · outpatientfrom % of charges	$355	$355	—	—	—	$355 – $355
24	Cigna ppo percent of total billed charges · outpatientfrom % of charges	$357	$357	—	—	—	$357 – $357
25	Aetna asa percent of total billed charges · outpatientfrom % of charges	$359	$359	—	—	—	$359 – $359

Page 1 of 2 · 35 rates

Last updated: Apr 21, 2026

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