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Procedure price report · Excision of skin lesion

Removal of a skin cancer on the face or lip, over 4 cm

CPT 11646the billing code this page is about

A cancerous skin growth on the face, ear, eyelid, nose or lip is cut out through the full thickness of the skin; covers one growth larger than 4.0 cm including margins.

Hospitals typically charge $1,634 cash for this outpatient procedure — the median across 1,182 hospitals that filed a usable cash price; the average of the middle 60% is $1,959. Most fall between $751 and $4,254 (20th–80th percentile).

Hospitals
1,182
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 1,182 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
$500$862$1,634$3,578$6,107

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($500 vs $6,107).

How the prices are spread

$382 – $519: 73 hospitals$382$519 – $704: 90 hospitals$704 – $955: 141 hospitals$704$955 – $1,297: 156 hospitals$1,297 – $1,760: 90 hospitals$1,297$1,760 – $2,389: 111 hospitals$2,389 – $3,243: 119 hospitals$2,389$3,243 – $4,402: 115 hospitals$4,402 – $5,974: 107 hospitals$4,402$5,974 – $8,109: 65 hospitals$5,974median $1,634price bands are equal on a log scale
Hospitals per price band (1,067 of 1,182 — the bands cover the 5th to 95th percentile)
FromToHospitals
$382$51973
$519$70490
$704$955141
$955$1,297156
$1,297$1,76090
$1,760$2,389111
$2,389$3,243119
$3,243$4,402115
$4,402$5,974107
$5,974$8,10965

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,968
Median cash price$1,634
Cash as a multiple of Medicare0.55×

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 $1,634.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: median $889 across 11 hospitalsME$889Vermont: median $780 across 10 hospitalsVT$780New Hampshire: 9 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $1,010 across 27 hospitalsWA$1,010Idaho: median $2,828 across 15 hospitalsID$2,828Montana: median $790 across 15 hospitalsMT$790North Dakota: median $1,430 across 16 hospitalsND$1,430Minnesota: median $1,607 across 46 hospitalsMN$1,607Illinois: median $1,316 across 41 hospitalsIL$1,316Wisconsin: median $1,076 across 54 hospitalsWI$1,076Michigan: median $762 across 44 hospitalsMI$762New York: median $3,387 across 65 hospitalsNY$3,387Massachusetts: median $3,026 across 21 hospitalsMA$3,026Oregon: median $979 across 28 hospitalsOR$979Nevada: 7 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 $1,280 across 14 hospitalsSD$1,280Iowa: median $1,256 across 51 hospitalsIA$1,256Indiana: median $1,565 across 26 hospitalsIN$1,565Ohio: median $2,444 across 42 hospitalsOH$2,444Pennsylvania: median $3,349 across 49 hospitalsPA$3,349New Jersey: median $3,819 across 34 hospitalsNJ$3,819Connecticut: 5 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 1 hospital filed a usable price — fewer than 10, so no figureRICalifornia: median $2,935 across 61 hospitalsCA$2,935Utah: 3 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $2,021 across 23 hospitalsCO$2,021Nebraska: median $1,168 across 38 hospitalsNE$1,168Missouri: median $2,189 across 34 hospitalsMO$2,189Kentucky: median $878 across 17 hospitalsKY$878West Virginia: median $1,593 across 26 hospitalsWV$1,593Virginia: median $2,950 across 28 hospitalsVA$2,950Maryland: 2 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 9 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 7 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $721 across 44 hospitalsKS$721Arkansas: 8 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $400 across 17 hospitalsTN$400North Carolina: median $3,578 across 24 hospitalsNC$3,578South Carolina: median $4,649 across 15 hospitalsSC$4,649Oklahoma: median $638 across 21 hospitalsOK$638Louisiana: median $1,977 across 21 hospitalsLA$1,977Mississippi: median $1,285 across 20 hospitalsMS$1,285Alabama: median $2,880 across 16 hospitalsAL$2,880Georgia: median $2,752 across 19 hospitalsGA$2,752Hawaii: 8 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,083 across 47 hospitalsTX$3,083Florida: median $5,918 across 30 hospitalsFL$5,918
Cash price by state, most expensive first. National median $1,634. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Florida FL30$5,918+262%$2,873 – $8,149
South Carolina SC15$4,649+184%$920 – $6,634
New Jersey NJ34$3,819+134%$3,168 – $5,339
North Carolina NC24$3,578+119%$1,824 – $3,727
New York NY65$3,387+107%$651 – $4,595
Pennsylvania PA49$3,349+105%$714 – $5,854
Texas TX47$3,083+89%$1,001 – $4,836
Massachusetts MA21$3,026+85%$1,286 – $4,148
Virginia VA28$2,950+80%$1,651 – $6,107
California CA61$2,935+80%$1,284 – $5,622
Alabama AL16$2,880+76%$1,439 – $7,801
Idaho ID15$2,828+73%$1,104 – $7,765
Georgia GA19$2,752+68%$1,462 – $5,507
Ohio OH42$2,444+50%$753 – $8,475
Missouri MO34$2,189+34%$742 – $3,020
Colorado CO23$2,021+24%$582 – $7,529
Louisiana LA21$1,977+21%$694 – $2,493
Minnesota MN46$1,607−2%$836 – $2,636
West Virginia WV26$1,593−3%$611 – $3,339
Indiana IN26$1,565−4%$589 – $2,777
North Dakota ND16$1,430−13%$889 – $3,656
Illinois IL41$1,316−19%$662 – $2,583
Mississippi MS20$1,285−21%$689 – $3,181
South Dakota SD14$1,280−22%$1,026 – $2,280
Iowa IA51$1,256−23%$689 – $1,696
Nebraska NE38$1,168−29%$883 – $1,712
Wisconsin WI54$1,076−34%$913 – $2,677
Washington WA27$1,010−38%$792 – $2,714
Oregon OR28$979−40%$772 – $1,457
Maine ME11$889−46%$613 – $1,347
Kentucky KY17$878−46%$539 – $1,487
Montana MT15$790−52%$480 – $1,364
Vermont VT10$780−52%$643 – $1,689
Michigan MI44$762−53%$489 – $3,994
Kansas KS44$721−56%$461 – $1,038
Oklahoma OK21$638−61%$638 – $3,224
Tennessee TN17$400−76%$324 – $2,090
Arizona AZ9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Arkansas AR8not enough hospitals filed a usable price
Hawaii HI8not enough hospitals filed a usable price
New Mexico NM7not enough hospitals filed a usable price
Nevada NV7not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Wyoming WY6not enough hospitals filed a usable price
Connecticut CT5not enough hospitals filed a usable price
Utah UT3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Rhode Island RI1not 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 $1,634.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care760$2,588$913 – $5,419
Children’s10fewer than 20 hospitals
Critical access411$1,035$571 – $2,147
Ownership
For-profit87$3,159$919 – $7,801
Government281$1,257$637 – $3,360
Non-profit813$1,763$763 – $4,487
System affiliation
Part of a system908$1,994$814 – $4,625
Independent274$1,129$611 – $2,880

Cash price vs list price

Median list price (chargemaster)$2,378
Median cash price$1,634
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

662 hospitals filed a usable inpatient cash price for this code. The median is $1,637 and the average of the middle 60% is $1,956; most fall between $762 and $4,254.

Cash price percentiles, inpatient, across 662 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
$544$913$1,637$3,548$5,622

The most expensive tenth of hospitals charges at least 10× what the cheapest tenth charges ($544 vs $5,622).

Of the 730 hospitals that filed this code inpatient, 662 gave a usable cash price; 29 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 39 a list price only.

How complete is this

1,182 of the 3,956 hospitals with a price file in our corpus (30%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,285 hospitals that filed this code at all gave us
Usable cash price — counted1,182
Cash price carrying a plausibility flag — shown on the compare tool, excluded here60
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded0
An estimate rather than a filed cash price — excluded2
A list price only, no cash figure — excluded41
Hospitals that filed this code1,285

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 >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, “Removal of a skin cancer on the face or lip, over 4 cm (CPT 11646) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-11646-removal-of-a-skin-cancer-on-the-face-or-lip-over-4-cm