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Procedure price report · Excision of skin lesion

Benign skin growth removal, face/ears/lips, over 4 cm

CPT 11446the billing code this page is about

Surgical cutting out of a non-cancerous skin lesion on the face, ears, eyelids, nose, or lips, where the removed area measures more than 4.0 cm across, including simple closure.

Hospitals typically charge $1,869 cash for this outpatient procedure — the median across 1,248 hospitals that filed a usable cash price; the average of the middle 60% is $2,040. Most fall between $629 and $4,324 (20th–80th percentile).

Hospitals
1,248
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 1,248 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
$429$729$1,869$3,754$5,855

The most expensive tenth of hospitals charges at least 14× what the cheapest tenth charges ($429 vs $5,855).

How the prices are spread

$312 – $431: 68 hospitals$312$431 – $595: 102 hospitals$595 – $821: 122 hospitals$595$821 – $1,133: 155 hospitals$1,133 – $1,564: 78 hospitals$1,133$1,564 – $2,159: 82 hospitals$2,159 – $2,979: 149 hospitals$2,159$2,979 – $4,111: 170 hospitals$4,111 – $5,674: 124 hospitals$4,111$5,674 – $7,831: 76 hospitals$5,674median $1,869price bands are equal on a log scale
Hospitals per price band (1,126 of 1,248 — the bands cover the 5th to 95th percentile)
FromToHospitals
$312$43168
$431$595102
$595$821122
$821$1,133155
$1,133$1,56478
$1,564$2,15982
$2,159$2,979149
$2,979$4,111170
$4,111$5,674124
$5,674$7,83176

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,968
Median cash price$1,869
Cash as a multiple of Medicare0.63×

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 $1,869.

Alaska: 8 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $646 across 10 hospitalsME$646Vermont: 8 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $2,411 across 37 hospitalsWA$2,411Idaho: median $2,938 across 16 hospitalsID$2,938Montana: median $609 across 16 hospitalsMT$609North Dakota: median $1,095 across 11 hospitalsND$1,095Minnesota: median $912 across 37 hospitalsMN$912Illinois: median $1,021 across 49 hospitalsIL$1,021Wisconsin: median $922 across 52 hospitalsWI$922Michigan: median $1,259 across 53 hospitalsMI$1,259New York: median $1,660 across 56 hospitalsNY$1,660Massachusetts: median $2,556 across 23 hospitalsMA$2,556Oregon: median $847 across 32 hospitalsOR$847Nevada: 9 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 6 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $1,053 across 12 hospitalsSD$1,053Iowa: median $961 across 43 hospitalsIA$961Indiana: median $1,632 across 25 hospitalsIN$1,632Ohio: median $3,940 across 48 hospitalsOH$3,940Pennsylvania: median $3,432 across 59 hospitalsPA$3,432New Jersey: median $3,819 across 36 hospitalsNJ$3,819Connecticut: 6 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,687 across 85 hospitalsCA$3,687Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,350 across 23 hospitalsCO$1,350Nebraska: median $866 across 34 hospitalsNE$866Missouri: median $2,033 across 29 hospitalsMO$2,033Kentucky: median $709 across 19 hospitalsKY$709West Virginia: median $2,584 across 27 hospitalsWV$2,584Virginia: median $2,621 across 25 hospitalsVA$2,621Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 8 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $651 across 37 hospitalsKS$651Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $1,175 across 17 hospitalsTN$1,175North Carolina: median $2,402 across 24 hospitalsNC$2,402South Carolina: median $4,649 across 12 hospitalsSC$4,649Oklahoma: median $464 across 25 hospitalsOK$464Louisiana: median $1,855 across 24 hospitalsLA$1,855Mississippi: median $676 across 17 hospitalsMS$676Alabama: median $2,592 across 15 hospitalsAL$2,592Georgia: median $2,684 across 29 hospitalsGA$2,684Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,730 across 68 hospitalsTX$2,730Florida: median $5,286 across 42 hospitalsFL$5,286
Cash price by state, most expensive first. National median $1,869. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL42$5,286+183%$2,521 – $6,976
South Carolina SC12$4,649+149%$3,175 – $6,634
Ohio OH48$3,940+111%$746 – $5,581
New Jersey NJ36$3,819+104%$3,321 – $5,339
California CA85$3,687+97%$1,801 – $4,917
Pennsylvania PA59$3,432+84%$737 – $5,520
Idaho ID16$2,938+57%$995 – $7,765
Texas TX68$2,730+46%$920 – $3,814
Georgia GA29$2,684+44%$1,625 – $5,507
Virginia VA25$2,621+40%$1,689 – $8,622
Alabama AL15$2,592+39%$581 – $4,114
West Virginia WV27$2,584+38%$343 – $4,421
Massachusetts MA23$2,556+37%$1,073 – $4,444
Washington WA37$2,411+29%$734 – $4,251
North Carolina NC24$2,402+29%$1,527 – $4,575
Missouri MO29$2,033+9%$691 – $3,341
Louisiana LA24$1,855−1%$945 – $3,758
New York NY56$1,660−11%$722 – $3,626
Indiana IN25$1,632−13%$386 – $2,506
Colorado CO23$1,350−28%$571 – $7,621
Michigan MI53$1,259−33%$394 – $3,994
Tennessee TN17$1,175−37%$365 – $2,769
North Dakota ND11$1,095−41%$679 – $2,944
South Dakota SD12$1,053−44%$1,053 – $1,570
Illinois IL49$1,021−45%$549 – $2,843
Iowa IA43$961−49%$519 – $1,129
Wisconsin WI52$922−51%$692 – $2,074
Minnesota MN37$912−51%$534 – $1,469
Nebraska NE34$866−54%$648 – $1,241
Oregon OR32$847−55%$589 – $2,667
Kentucky KY19$709−62%$387 – $2,387
Mississippi MS17$676−64%$481 – $3,614
Kansas KS37$651−65%$476 – $2,467
Maine ME10$646−65%$279 – $1,326
Montana MT16$609−67%$400 – $946
Oklahoma OK25$464−75%$464 – $1,302
New Hampshire NH9not enough hospitals filed a usable price
Nevada NV9not enough hospitals filed a usable price
Alaska AK8not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
New Mexico NM8not enough hospitals filed a usable price
Vermont VT8not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
Connecticut CT6not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price
Utah UT2not enough hospitals filed a usable price
Delaware DE1not 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 $1,869.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care821$2,730$869 – $4,950
Children’s32$1,794$693 – $4,364
Critical access394$871$475 – $2,087
Ownership
For-profit97$2,938$922 – $5,784
Government273$1,100$557 – $3,376
Non-profit877$2,033$676 – $4,521
System affiliation
Part of a system956$2,280$701 – $4,839
Independent292$965$544 – $3,349

Cash price vs list price

Median list price (chargemaster)$2,806
Median cash price$1,869
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

764 hospitals filed a usable inpatient cash price for this code. The median is $2,087 and the average of the middle 60% is $2,200; most fall between $692 and $4,878.

Cash price percentiles, inpatient, across 764 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
$464$760$2,087$3,940$5,918

The most expensive tenth of hospitals charges at least 13× what the cheapest tenth charges ($464 vs $5,918).

Of the 835 hospitals that filed this code inpatient, 764 gave a usable cash price; 31 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 40 a list price only.

How complete is this

1,248 of the 3,956 hospitals with a price file in our corpus (32%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,359 hospitals that filed this code at all gave us
Usable cash price — counted1,248
Cash price carrying a plausibility flag — shown on the compare tool, excluded here65
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded1
A list price only, no cash figure — excluded45
Hospitals that filed this code1,359

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 July 20, 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 Excision of skin lesion family.

Hospitals file this code under descriptions such as Exc B9 Lesion Mrgn Xcp Sk Tg F/E/E/N/L/M > 4.0cm.

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, “Benign skin growth removal, face/ears/lips, over 4 cm (CPT 11446) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-11446-benign-skin-growth-removal-face-ears-lips-over-4-cm