Incision and drainage of vulva or perineum at Dukes Health System 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,LT I & D OF VULVA/PERINEUM

Peru, IN

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How this price compares nationally

Dukes Health System LLC’s median price of $174 is 55% below the median hospital's median price ($387), higher than 9% 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 Dukes Health System LLC

Negotiated rates from the hospital’s own file: 11 payers, 37 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	Anthem anthem in hip facility · fee schedule · outpatient	$83	$74	$13	18%	—	$55 – $84
2	Aetna aetna nbd facility · percent of total billed charges · inpatientfrom % of charges	$150	$133	$24	18%	—	$99 – $151
3	Aetna aetna pssd jj facility · percent of total billed charges · inpatientfrom % of charges	$150	$133	$24	18%	—	$99 – $151
4	UnitedHealthcare uhc apa facility · percent of total billed charges · inpatientfrom % of charges	$205	$182	$33	18%	—	$136 – $206
5	Caresource caresource in medicaid facility · other · outpatient	$293	$293	—	—	—	$293 – $293
6	Tricare node tricare facility · fee schedule · outpatient	$77	$295	$679	230%	—	$51 – $2.3k
7	First Health first health facility · percent of total billed charges · inpatientfrom % of charges	$334	$297	$54	18%	—	$221 – $335
8	MultiPlan multiplan complementary facility · percent of total billed charges · inpatientfrom % of charges	$338	$300	$54	18%	—	$224 – $339
9	MultiPlan multiplan primary facility · percent of total billed charges · inpatientfrom % of charges	$338	$300	$54	18%	—	$224 – $339
10	Anthem node anthem in mcr select facility · fee schedule · outpatient	$82	$313	$722	230%	—	$54 – $2.5k
11	Humana node humana mcr adv facility · fee schedule · outpatient	$82	$313	$722	230%	—	$54 – $2.5k
12	UnitedHealthcare node uhc mcr adv facility · fee schedule · outpatient	$82	$313	$722	230%	—	$54 – $2.5k
13	Anthem node anthem in mcr adv facility · fee schedule · outpatient	$83	$319	$733	230%	—	$55 – $2.5k
14	Optum node united optum va ccn facility · per diem · outpatient	$83	$319	$733	230%	—	$55 – $2.5k
15	Aetna node aetna mcr adv facility · fee schedule · outpatient	$84	$320	$736	230%	—	$55 – $2.5k
16	Devoted node devoted health mcr adv facility · fee schedule · outpatient	$84	$320	$736	230%	—	$55 – $2.5k
17	Anthem anthem in medicaid facility · other · outpatient	$381	$381	—	—	1–10	$381 – $381
18	Caresource caresource hhw in medicaid facility · other · outpatient	$381	$381	—	—	—	$381 – $381
19	Caresource caresource in hip facility · other · outpatient	$381	$381	—	—	—	$381 – $381
20	Humana humana pathways in medicaid facility · other · outpatient	$381	$381	—	—	—	$381 – $381
21	UnitedHealthcare uhc hcc in medicaid facility · other · outpatient	$381	$381	—	—	—	$381 – $381
22	UnitedHealthcare uhc pathways in medicaid facility · other · outpatient	$381	$381	—	—	—	$381 – $381
23	Anthem node anthem essentials marketplace facility · fee schedule · outpatient	$125	$478	$1.1k	230%	—	$83 – $3.8k
24	Anthem anthem in work comp facility · other · outpatient	$133	$510	$1.2k	230%	—	$88 – $4.0k
25	Aetna aetna nbd facility · percent of total billed charges · outpatientfrom % of charges	$150	$573	$1.3k	230%	—	$99 – $4.5k

Page 1 of 2 · 37 rates

Last updated: Apr 1, 2026

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