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Procedure price report · Excision of skin lesion

Cancerous skin lesion removal, face or ear, up to 0.5 cm

CPT 11640the billing code this page is about

Cutting out a cancerous skin growth on the face, ear, eyelid, nose, or lip where the growth plus the rim of normal skin taken around it measures 0.5 cm or less.

Hospitals typically charge $517 cash for this outpatient procedure — the median across 1,230 hospitals that filed a usable cash price; the average of the middle 60% is $612. Most fall between $259 and $1,322 (20th–80th percentile).

Hospitals
1,230
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 1,230 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
$190$300$517$1,071$2,210

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($190 vs $2,210).

How the prices are spread

$123 – $173: 49 hospitals$123$173 – $243: 122 hospitals$243 – $341: 142 hospitals$243$341 – $479: 178 hospitals$479 – $672: 174 hospitals$479$672 – $944: 158 hospitals$944 – $1,326: 108 hospitals$944$1,326 – $1,862: 83 hospitals$1,862 – $2,616: 62 hospitals$1,862$2,616 – $3,674: 42 hospitals$2,616median $517price bands are equal on a log scale
Hospitals per price band (1,118 of 1,230 — the bands cover the 5th to 95th percentile)
FromToHospitals
$123$17349
$173$243122
$243$341142
$341$479178
$479$672174
$672$944158
$944$1,326108
$1,326$1,86283
$1,862$2,61662
$2,616$3,67442

Against Medicare

Medicare pays (OPPS 2026, national rate)$723
Median cash price$517
Cash as a multiple of Medicare0.71×

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 $517.

Alaska: median $1,240 across 10 hospitalsAK$1,240Maine: median $390 across 15 hospitalsME$390Vermont: median $347 across 11 hospitalsVT$347New Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $467 across 27 hospitalsWA$467Idaho: median $664 across 15 hospitalsID$664Montana: median $306 across 19 hospitalsMT$306North Dakota: median $440 across 14 hospitalsND$440Minnesota: median $535 across 48 hospitalsMN$535Illinois: median $411 across 43 hospitalsIL$411Wisconsin: median $483 across 61 hospitalsWI$483Michigan: median $317 across 51 hospitalsMI$317New York: median $617 across 58 hospitalsNY$617Massachusetts: median $748 across 26 hospitalsMA$748Oregon: median $370 across 26 hospitalsOR$370Nevada: 5 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 8 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $566 across 14 hospitalsSD$566Iowa: median $420 across 58 hospitalsIA$420Indiana: median $497 across 29 hospitalsIN$497Ohio: median $863 across 45 hospitalsOH$863Pennsylvania: median $798 across 55 hospitalsPA$798New Jersey: median $1,347 across 35 hospitalsNJ$1,347Connecticut: 7 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 $2,503 across 53 hospitalsCA$2,503Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $524 across 20 hospitalsCO$524Nebraska: median $414 across 44 hospitalsNE$414Missouri: median $394 across 31 hospitalsMO$394Kentucky: median $336 across 20 hospitalsKY$336West Virginia: median $799 across 28 hospitalsWV$799Virginia: median $2,210 across 25 hospitalsVA$2,210Maryland: 3 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 6 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 6 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $265 across 50 hospitalsKS$265Arkansas: 6 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $284 across 19 hospitalsTN$284North Carolina: median $1,207 across 25 hospitalsNC$1,207South Carolina: median $1,576 across 15 hospitalsSC$1,576Oklahoma: median $208 across 20 hospitalsOK$208Louisiana: median $485 across 21 hospitalsLA$485Mississippi: median $290 across 15 hospitalsMS$290Alabama: median $593 across 13 hospitalsAL$593Georgia: median $1,322 across 29 hospitalsGA$1,322Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $896 across 43 hospitalsTX$896Florida: median $1,554 across 36 hospitalsFL$1,554
Cash price by state, most expensive first. National median $517. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA53$2,503+385%$474 – $3,674
Virginia VA25$2,210+328%$240 – $2,368
South Carolina SC15$1,576+205%$302 – $3,465
Florida FL36$1,554+201%$662 – $3,548
New Jersey NJ35$1,347+161%$779 – $4,881
Georgia GA29$1,322+156%$558 – $4,609
Alaska AK10$1,240+140%$409 – $1,490
North Carolina NC25$1,207+134%$521 – $1,207
Texas TX43$896+73%$405 – $1,425
Ohio OH45$863+67%$287 – $1,372
West Virginia WV28$799+55%$219 – $2,288
Pennsylvania PA55$798+54%$132 – $1,092
Massachusetts MA26$748+45%$431 – $1,186
Idaho ID15$664+29%$335 – $1,783
New York NY58$617+19%$238 – $1,458
Alabama AL13$593+15%$279 – $2,399
South Dakota SD14$566+9%$386 – $714
Minnesota MN48$535+4%$288 – $1,125
Colorado CO20$524+1%$188 – $1,884
Indiana IN29$497−4%$239 – $879
Louisiana LA21$485−6%$203 – $979
Wisconsin WI61$483−7%$355 – $802
Washington WA27$467−10%$347 – $1,037
North Dakota ND14$440−15%$216 – $723
Iowa IA58$420−19%$228 – $523
Nebraska NE44$414−20%$335 – $487
Illinois IL43$411−20%$221 – $825
Missouri MO31$394−24%$269 – $1,432
Maine ME15$390−25%$195 – $513
Oregon OR26$370−28%$291 – $602
Vermont VT11$347−33%$285 – $458
Kentucky KY20$336−35%$198 – $542
Michigan MI51$317−39%$105 – $817
Montana MT19$306−41%$184 – $490
Mississippi MS15$290−44%$224 – $1,560
Tennessee TN19$284−45%$153 – $523
Kansas KS50$265−49%$144 – $393
Oklahoma OK20$208−60%$208 – $1,434
New Hampshire NH9not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
Wyoming WY8not enough hospitals filed a usable price
Connecticut CT7not enough hospitals filed a usable price
Arkansas AR6not enough hospitals filed a usable price
Arizona AZ6not enough hospitals filed a usable price
New Mexico NM6not enough hospitals filed a usable price
Nevada NV5not enough hospitals filed a usable price
Maryland MD3not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Rhode Island RI2not 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 $517.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care759$781$309 – $1,763
Children’s14fewer than 20 hospitals
Critical access456$390$221 – $641
Ownership
For-profit76$837$335 – $2,110
Government303$433$243 – $889
Non-profit850$545$261 – $1,372
System affiliation
Part of a system926$567$275 – $1,425
Independent304$433$223 – $869

Cash price vs list price

Median list price (chargemaster)$708
Median cash price$517
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

706 hospitals filed a usable inpatient cash price for this code. The median is $523 and the average of the middle 60% is $660; most fall between $263 and $1,425.

Cash price percentiles, inpatient, across 706 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
$197$305$523$1,261$2,210

The most expensive tenth of hospitals charges at least 11× what the cheapest tenth charges ($197 vs $2,210).

Of the 781 hospitals that filed this code inpatient, 706 gave a usable cash price; 33 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 42 a list price only.

How complete is this

1,230 of the 3,956 hospitals with a price file in our corpus (31%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,360 hospitals that filed this code at all gave us
Usable cash price — counted1,230
Cash price carrying a plausibility flag — shown on the compare tool, excluded here77
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded53
Hospitals that filed this code1,360

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 Excision of skin lesion family.

Hospitals file this code under descriptions such as Excision Malignant Lesion F/E/E/N/L 0.5 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, face or ear, up to 0.5 cm (CPT 11640) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-11640-cancerous-skin-lesion-removal-face-or-ear-up-to-0-5-cm