HRHospitalRates.comCompare prices

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

Punch biopsy of skin, each additional growth

CPT 11105the billing code this page is about

Full-thickness core sample of skin taken with a round punch tool; this code covers each extra lesion sampled the same day beyond the first.

Hospitals typically charge $145 cash for this outpatient procedure — the median across 2,303 hospitals that filed a usable cash price; the average of the middle 60% is $165. Most fall between $67 and $338 (20th–80th percentile).

Hospitals
2,303
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 2,303 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
$43$80$145$286$541

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($43 vs $541).

How the prices are spread

$29 – $40: 92 hospitals$29$40 – $56: 130 hospitals$56 – $78: 221 hospitals$56$78 – $108: 284 hospitals$108 – $151: 361 hospitals$108$151 – $210: 249 hospitals$210 – $292: 304 hospitals$210$292 – $407: 206 hospitals$407 – $566: 126 hospitals$407$566 – $788: 101 hospitals$566median $145price bands are equal on a log scale
Hospitals per price band (2,074 of 2,303 — the bands cover the 5th to 95th percentile)
FromToHospitals
$29$4092
$40$56130
$56$78221
$78$108284
$108$151361
$151$210249
$210$292304
$292$407206
$407$566126
$566$788101

By state

The median cash price in each state, against the national median of $145.

Alaska: median $178 across 14 hospitalsAK$178Maine: median $67 across 19 hospitalsME$67Vermont: median $99 across 12 hospitalsVT$99New Hampshire: median $57 across 13 hospitalsNH$57Washington: median $143 across 68 hospitalsWA$143Idaho: median $107 across 18 hospitalsID$107Montana: median $82 across 24 hospitalsMT$82North Dakota: median $147 across 22 hospitalsND$147Minnesota: median $108 across 81 hospitalsMN$108Illinois: median $158 across 101 hospitalsIL$158Wisconsin: median $115 across 95 hospitalsWI$115Michigan: median $100 across 81 hospitalsMI$100New York: median $129 across 79 hospitalsNY$129Massachusetts: median $123 across 42 hospitalsMA$123Oregon: median $95 across 47 hospitalsOR$95Nevada: median $121 across 10 hospitalsNV$121Wyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $166 across 17 hospitalsSD$166Iowa: median $122 across 72 hospitalsIA$122Indiana: median $128 across 63 hospitalsIN$128Ohio: median $216 across 125 hospitalsOH$216Pennsylvania: median $239 across 94 hospitalsPA$239New Jersey: median $579 across 39 hospitalsNJ$579Connecticut: median $234 across 19 hospitalsCT$234Rhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $260 across 132 hospitalsCA$260Utah: median $167 across 19 hospitalsUT$167Colorado: median $184 across 49 hospitalsCO$184Nebraska: median $102 across 58 hospitalsNE$102Missouri: median $98 across 61 hospitalsMO$98Kentucky: median $123 across 31 hospitalsKY$123West Virginia: median $149 across 31 hospitalsWV$149Virginia: median $113 across 50 hospitalsVA$113Maryland: median $192 across 16 hospitalsMD$192Delaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $101 across 25 hospitalsAZ$101New Mexico: median $99 across 15 hospitalsNM$99Kansas: median $81 across 56 hospitalsKS$81Arkansas: median $194 across 16 hospitalsAR$194Tennessee: median $48 across 44 hospitalsTN$48North Carolina: median $174 across 57 hospitalsNC$174South Carolina: median $280 across 33 hospitalsSC$280Oklahoma: median $174 across 37 hospitalsOK$174Louisiana: median $122 across 37 hospitalsLA$122Mississippi: median $86 across 40 hospitalsMS$86Alabama: median $315 across 29 hospitalsAL$315Georgia: median $225 across 71 hospitalsGA$225Hawaii: median $146 across 13 hospitalsHI$146Texas: median $235 across 122 hospitalsTX$235Florida: median $385 across 85 hospitalsFL$385
Cash price by state, most expensive first. National median $145. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
New Jersey NJ39$579+300%$135 – $4,881
Florida FL85$385+166%$150 – $722
Alabama AL29$315+118%$85 – $633
South Carolina SC33$280+94%$119 – $429
California CA132$260+80%$124 – $398
Pennsylvania PA94$239+65%$53 – $553
Texas TX122$235+63%$125 – $288
Connecticut CT19$234+62%$135 – $389
Georgia GA71$225+55%$142 – $760
Ohio OH125$216+49%$109 – $326
Arkansas AR16$194+34%$84 – $262
Maryland MD16$192+33%$98 – $612
Colorado CO49$184+27%$63 – $292
Alaska AK14$178+23%$83 – $311
North Carolina NC57$174+20%$89 – $262
Oklahoma OK37$174+20%$63 – $508
Utah UT19$167+15%$133 – $275
South Dakota SD17$166+15%$94 – $283
Illinois IL101$158+9%$87 – $293
West Virginia WV31$149+3%$73 – $265
North Dakota ND22$147+2%$45 – $202
Hawaii HI13$146+1%$92 – $431
Washington WA68$143−1%$84 – $238
New York NY79$129−11%$47 – $417
Indiana IN63$128−12%$61 – $293
Massachusetts MA42$123−15%$73 – $306
Kentucky KY31$123−15%$45 – $277
Louisiana LA37$122−16%$38 – $183
Iowa IA72$122−16%$68 – $241
Nevada NV10$121−16%$68 – $274
Wisconsin WI95$115−21%$89 – $223
Virginia VA50$113−22%$32 – $339
Minnesota MN81$108−25%$57 – $143
Idaho ID18$107−26%$49 – $1,117
Nebraska NE58$102−30%$50 – $149
Arizona AZ25$101−30%$71 – $139
Michigan MI81$100−31%$32 – $240
New Mexico NM15$99−31%$57 – $152
Vermont VT12$99−32%$66 – $165
Missouri MO61$98−33%$43 – $330
Oregon OR47$95−34%$69 – $171
Mississippi MS40$86−40%$56 – $145
Montana MT24$82−43%$38 – $120
Kansas KS56$81−44%$49 – $158
Maine ME19$67−54%$25 – $165
New Hampshire NH13$57−61%$49 – $84
Tennessee TN44$48−67%$32 – $148
Wyoming WY8not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Delaware DE6not 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 $145.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,629$180$80 – $389
Children’s40$198$123 – $420
Critical access626$99$53 – $190
Ownership
For-profit164$206$94 – $635
Government458$116$55 – $287
Non-profit1,673$149$70 – $361
System affiliation
Part of a system1,857$150$70 – $366
Independent446$125$55 – $275

Cash price vs list price

Median list price (chargemaster)$240
Median cash price$145
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

1,645 hospitals filed a usable inpatient cash price for this code. The median is $178 and the average of the middle 60% is $190; most fall between $79 and $375.

Cash price percentiles, inpatient, across 1,645 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
$50$94$178$315$578

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($50 vs $578).

Of the 1,785 hospitals that filed this code inpatient, 1,645 gave a usable cash price; 50 carried a plausibility flag, 1 filed a number their own filing marks as not a price, 0 gave an estimate, and 89 a list price only.

How complete is this

2,303 of the 3,956 hospitals with a price file in our corpus (58%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 2,534 hospitals that filed this code at all gave us
Usable cash price — counted2,303
Cash price carrying a plausibility flag — shown on the compare tool, excluded here91
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded139
Hospitals that filed this code2,534

Sections not shown for this setting

  • Against Medicare: Medicare has no separately payable national outpatient (OPPS) rate for this code, so there is nothing honest to compare against.
  • 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 Ea Sep/Additional 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, each additional growth (CPT 11105) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-11105-punch-biopsy-of-skin-each-additional-growth