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Procedure price report · Other diagnostic procedures on skin and subcutaneous tissue

Punch biopsy of skin, single growth

CPT 11104the billing code this page is about

A small round tool is used to take a full-thickness core of skin from one growth for lab testing.

Hospitals typically charge $340 cash for this outpatient procedure — the median across 2,727 hospitals that filed a usable cash price; the average of the middle 60% is $358. Most fall between $161 and $656 (20th–80th percentile).

Hospitals
2,727
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 2,727 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$104$188$340$566$974

The most expensive tenth of hospitals charges at least 9.4× what the cheapest tenth charges ($104 vs $974).

How the prices are spread

$73 – $96: 97 hospitals$73$96 – $128: 153 hospitals$128 – $169: 198 hospitals$128$169 – $225: 272 hospitals$225 – $298: 345 hospitals$225$298 – $395: 386 hospitals$395 – $523: 356 hospitals$395$523 – $693: 293 hospitals$693 – $919: 191 hospitals$693$919 – $1,217: 166 hospitals$919median $340price bands are equal on a log scale
Hospitals per price band (2,457 of 2,727 — the bands cover the 5th to 95th percentile)
FromToHospitals
$73$9697
$96$128153
$128$169198
$169$225272
$225$298345
$298$395386
$395$523356
$523$693293
$693$919191
$919$1,217166

Against Medicare

Medicare pays (OPPS 2026, national rate)$415
Median cash price$340
Cash as a multiple of Medicare0.82×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $340.

Alaska: median $390 across 16 hospitalsAK$390Maine: median $261 across 22 hospitalsME$261Vermont: median $228 across 12 hospitalsVT$228New Hampshire: median $120 across 16 hospitalsNH$120Washington: median $337 across 74 hospitalsWA$337Idaho: median $194 across 20 hospitalsID$194Montana: median $163 across 29 hospitalsMT$163North Dakota: median $334 across 26 hospitalsND$334Minnesota: median $256 across 95 hospitalsMN$256Illinois: median $327 across 109 hospitalsIL$327Wisconsin: median $230 across 99 hospitalsWI$230Michigan: median $317 across 88 hospitalsMI$317New York: median $483 across 98 hospitalsNY$483Massachusetts: median $382 across 46 hospitalsMA$382Oregon: median $187 across 52 hospitalsOR$187Nevada: median $234 across 14 hospitalsNV$234Wyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $271 across 30 hospitalsSD$271Iowa: median $216 across 83 hospitalsIA$216Indiana: median $391 across 73 hospitalsIN$391Ohio: median $409 across 138 hospitalsOH$409Pennsylvania: median $553 across 118 hospitalsPA$553New Jersey: median $533 across 55 hospitalsNJ$533Connecticut: median $419 across 19 hospitalsCT$419Rhode Island: 9 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $723 across 150 hospitalsCA$723Utah: median $366 across 23 hospitalsUT$366Colorado: median $304 across 55 hospitalsCO$304Nebraska: median $254 across 70 hospitalsNE$254Missouri: median $298 across 71 hospitalsMO$298Kentucky: median $254 across 41 hospitalsKY$254West Virginia: median $347 across 36 hospitalsWV$347Virginia: median $300 across 60 hospitalsVA$300Maryland: median $616 across 18 hospitalsMD$616Delaware: 7 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $349 across 30 hospitalsAZ$349New Mexico: median $482 across 26 hospitalsNM$482Kansas: median $169 across 69 hospitalsKS$169Arkansas: median $248 across 27 hospitalsAR$248Tennessee: median $148 across 53 hospitalsTN$148North Carolina: median $266 across 72 hospitalsNC$266South Carolina: median $542 across 41 hospitalsSC$542Oklahoma: median $245 across 50 hospitalsOK$245Louisiana: median $260 across 43 hospitalsLA$260Mississippi: median $190 across 44 hospitalsMS$190Alabama: median $395 across 33 hospitalsAL$395Georgia: median $566 across 81 hospitalsGA$566Hawaii: median $400 across 13 hospitalsHI$400Texas: median $446 across 161 hospitalsTX$446Florida: median $737 across 103 hospitalsFL$737
Cash price by state, most expensive first. National median $340. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL103$737+117%$368 – $1,177
California CA150$723+113%$270 – $1,019
Maryland MD18$616+81%$274 – $1,347
Georgia GA81$566+67%$258 – $845
Pennsylvania PA118$553+63%$239 – $860
South Carolina SC41$542+60%$273 – $725
New Jersey NJ55$533+57%$442 – $3,986
New York NY98$483+42%$167 – $915
New Mexico NM26$482+42%$201 – $1,107
Texas TX161$446+31%$205 – $528
Connecticut CT19$419+23%$245 – $779
Ohio OH138$409+20%$279 – $664
Hawaii HI13$400+18%$191 – $664
Alabama AL33$395+16%$216 – $1,021
Indiana IN73$391+15%$125 – $578
Alaska AK16$390+15%$152 – $632
Massachusetts MA46$382+12%$154 – $565
Utah UT23$366+8%$326 – $428
Arizona AZ30$349+3%$177 – $666
West Virginia WV36$347+2%$230 – $493
Washington WA74$337−1%$161 – $515
North Dakota ND26$334−2%$116 – $410
Illinois IL109$327−4%$175 – $629
Michigan MI88$317−7%$129 – $559
Colorado CO55$304−11%$180 – $723
Virginia VA60$300−12%$126 – $436
Missouri MO71$298−12%$144 – $847
South Dakota SD30$271−20%$119 – $466
North Carolina NC72$266−22%$207 – $400
Maine ME22$261−23%$121 – $379
Louisiana LA43$260−23%$103 – $368
Minnesota MN95$256−25%$141 – $343
Kentucky KY41$254−25%$113 – $525
Nebraska NE70$254−25%$165 – $316
Arkansas AR27$248−27%$158 – $648
Oklahoma OK50$245−28%$117 – $445
Nevada NV14$234−31%$155 – $1,564
Wisconsin WI99$230−32%$179 – $401
Vermont VT12$228−33%$115 – $624
Iowa IA83$216−36%$122 – $394
Idaho ID20$194−43%$102 – $1,117
Mississippi MS44$190−44%$121 – $268
Oregon OR52$187−45%$107 – $290
Kansas KS69$169−50%$104 – $382
Montana MT29$163−52%$93 – $333
Tennessee TN53$148−56%$75 – $369
New Hampshire NH16$120−65%$91 – $325
Rhode Island RI9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Delaware DE7not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $340.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,914$400$201 – $746
Children’s48$395$262 – $690
Critical access757$213$111 – $387
Ownership
For-profit239$458$199 – $1,025
Government545$233$119 – $473
Non-profit1,935$365$177 – $666
System affiliation
Part of a system2,190$358$177 – $674
Independent537$273$118 – $540

Cash price vs list price

Median list price (chargemaster)$563
Median cash price$340
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

1,924 hospitals filed a usable inpatient cash price for this code. The median is $378 and the average of the middle 60% is $389; most fall between $179 and $678.

Cash price percentiles, inpatient, across 1,924 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$112$213$378$607$975

The most expensive tenth of hospitals charges at least 8.7× what the cheapest tenth charges ($112 vs $975).

Of the 2,071 hospitals that filed this code inpatient, 1,924 gave a usable cash price; 51 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 95 a list price only.

How complete is this

2,727 of the 3,956 hospitals with a price file in our corpus (69%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,935 hospitals that filed this code at all gave us
Usable cash price — counted2,727
Cash price carrying a plausibility flag — shown on the compare tool, excluded here96
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded107
Hospitals that filed this code2,935

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other diagnostic procedures on skin and subcutaneous tissue family.

Hospitals file this code under descriptions such as Punch Biopsy Skin Single Lesion.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Punch biopsy of skin, single growth (CPT 11104) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-11104-punch-biopsy-of-skin-single-growth