Procedure price report · Excision of skin lesion

Cancerous skin lesion removal, trunk/arm/leg, 3.1-4 cm

CPT code CPT 11604the billing code this page is about

Cutting out a cancerous skin growth on the trunk, arm, or leg where the growth plus the rim of normal skin taken around it measures 3.1 to 4 cm.

Hospitals typically charge $794 cash for this outpatient procedure — the median across 1,490 hospitals that filed a usable cash price; the average of the middle 60% is $877. Most fall between $413 and $1,872 (20th–80th percentile).

Hospitals
1,490
States
49
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 1,490 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
$281$469$794$1,437$3,448

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($281 vs $3,448).

How the prices are spread

$200 – $277: 69 hospitals$200$277 – $384: 128 hospitals$384 – $533: 171 hospitals$384$533 – $740: 230 hospitals$740 – $1,026: 265 hospitals$740$1,026 – $1,424: 175 hospitals$1,424 – $1,976: 99 hospitals$1,424$1,976 – $2,742: 76 hospitals$2,742 – $3,804: 69 hospitals$2,742$3,804 – $5,279: 60 hospitals$3,804median $794price bands are equal on a log scale
Hospitals per price band (1,342 of 1,490 — the bands cover the 5th to 95th percentile)
FromToHospitals
$200$27769
$277$384128
$384$533171
$533$740230
$740$1,026265
$1,026$1,424175
$1,424$1,97699
$1,976$2,74276
$2,742$3,80469
$3,804$5,27960

Against Medicare

Medicare pays (OPPS 2026, national rate)$723
Median cash price$794
Cash as a multiple of Medicare1.10×

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 $794.

Alaska: median $1,623 across 10 hospitalsAK$1,623Maine: median $482 across 14 hospitalsME$482Vermont: median $502 across 12 hospitalsVT$502New Hampshire: median $407 across 14 hospitalsNH$407Washington: median $706 across 35 hospitalsWA$706Idaho: median $681 across 16 hospitalsID$681Montana: median $458 across 21 hospitalsMT$458North Dakota: median $723 across 15 hospitalsND$723Minnesota: median $772 across 50 hospitalsMN$772Illinois: median $697 across 52 hospitalsIL$697Wisconsin: median $745 across 67 hospitalsWI$745Michigan: median $675 across 59 hospitalsMI$675New York: median $833 across 67 hospitalsNY$833Massachusetts: median $1,498 across 27 hospitalsMA$1,498Oregon: median $568 across 29 hospitalsOR$568Nevada: 7 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $853 across 17 hospitalsSD$853Iowa: median $608 across 61 hospitalsIA$608Indiana: median $677 across 36 hospitalsIN$677Ohio: median $1,372 across 72 hospitalsOH$1,372Pennsylvania: median $888 across 64 hospitalsPA$888New Jersey: median $1,347 across 37 hospitalsNJ$1,347Connecticut: 8 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 7 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $1,295 across 76 hospitalsCA$1,295Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $762 across 26 hospitalsCO$762Nebraska: median $677 across 45 hospitalsNE$677Missouri: median $469 across 44 hospitalsMO$469Kentucky: median $469 across 20 hospitalsKY$469West Virginia: median $792 across 29 hospitalsWV$792Virginia: median $1,132 across 29 hospitalsVA$1,132Maryland: 9 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 8 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: median $1,210 across 11 hospitalsNM$1,210Kansas: median $465 across 53 hospitalsKS$465Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $412 across 25 hospitalsTN$412North Carolina: median $1,116 across 35 hospitalsNC$1,116South Carolina: median $1,576 across 19 hospitalsSC$1,576Oklahoma: median $374 across 29 hospitalsOK$374Louisiana: median $833 across 27 hospitalsLA$833Mississippi: median $435 across 22 hospitalsMS$435Alabama: median $963 across 21 hospitalsAL$963Georgia: median $1,322 across 29 hospitalsGA$1,322Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $1,193 across 51 hospitalsTX$1,193Florida: median $2,216 across 55 hospitalsFL$2,216
Cash price by state, most expensive first. National median $794. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL55$2,216+179%$984 – $3,548
Alaska AK10$1,623+104%$1,018 – $2,570
South Carolina SC19$1,576+98%$780 – $3,073
Massachusetts MA27$1,498+89%$743 – $3,148
Ohio OH72$1,372+73%$586 – $3,245
New Jersey NJ37$1,347+70%$779 – $5,110
Georgia GA29$1,322+67%$818 – $5,810
California CA76$1,295+63%$903 – $4,715
New Mexico NM11$1,210+52%$818 – $4,995
Texas TX51$1,193+50%$663 – $2,302
Virginia VA29$1,132+43%$532 – $2,818
North Carolina NC35$1,116+41%$521 – $1,442
Alabama AL21$963+21%$704 – $3,571
Pennsylvania PA64$888+12%$322 – $2,816
South Dakota SD17$853+7%$640 – $1,025
Louisiana LA27$833+5%$437 – $1,358
New York NY67$833+5%$353 – $1,554
West Virginia WV29$7920%$324 – $1,398
Minnesota MN50$772−3%$388 – $1,149
Colorado CO26$762−4%$440 – $4,973
Wisconsin WI67$745−6%$558 – $849
North Dakota ND15$723−9%$455 – $893
Washington WA35$706−11%$454 – $1,037
Illinois IL52$697−12%$497 – $1,373
Idaho ID16$681−14%$464 – $1,783
Indiana IN36$677−15%$358 – $1,202
Nebraska NE45$677−15%$477 – $1,048
Michigan MI59$675−15%$181 – $974
Iowa IA61$608−23%$415 – $869
Oregon OR29$568−28%$281 – $830
Vermont VT12$502−37%$324 – $841
Maine ME14$482−39%$290 – $828
Kentucky KY20$469−41%$308 – $754
Missouri MO44$469−41%$250 – $1,305
Kansas KS53$465−41%$328 – $837
Montana MT21$458−42%$313 – $691
Mississippi MS22$435−45%$354 – $907
Tennessee TN25$412−48%$180 – $1,320
New Hampshire NH14$407−49%$200 – $686
Oklahoma OK29$374−53%$374 – $1,394
Arkansas AR9not enough hospitals filed a usable price
Hawaii HI9not enough hospitals filed a usable price
Maryland MD9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Connecticut CT8not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Rhode Island RI7not enough hospitals filed a usable price
Utah UT3not 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 $794.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care970$965$481 – $2,663
Children’s11fewer than 20 hospitals
Critical access508$595$330 – $951
Ownership
For-profit113$1,252$521 – $4,298
Government356$662$391 – $1,184
Non-profit1,020$833$421 – $1,892
System affiliation
Part of a system1,139$853$444 – $2,141
Independent351$621$349 – $1,184

Cash price vs list price

Median list price (chargemaster)$1,152
Median cash price$794
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

874 hospitals filed a usable inpatient cash price for this code. The median is $837 and the average of the middle 60% is $950; most fall between $424 and $1,928.

Cash price percentiles, inpatient, across 874 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
$303$502$837$1,554$3,046

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($303 vs $3,046).

Of the 967 hospitals that filed this code inpatient, 874 gave a usable cash price; 34 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 59 a list price only.

How complete is this

1,490 of the 3,956 hospitals with a price file in our corpus (38%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,615 hospitals that filed this code at all gave us
Usable cash price — counted1,490
Cash price carrying a plausibility flag — shown on the compare tool, excluded here68
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded54
Hospitals that filed this code1,615

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.

Hospitals file this code under descriptions such as Excision Mal Lesion Trunk/Arm/Leg 3.1-4.0 Cm.

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, “Cancerous skin lesion removal, trunk/arm/leg, 3.1-4 cm (CPT 11604) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-11604-cancerous-skin-lesion-removal-trunk-arm-leg-3-1-4-cm