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Procedure price report · Excision of skin lesion

Removal of a small tumor under the skin of the leg or ankle

CPT 27618the billing code this page is about

Surgical removal of a soft tissue growth in the fatty layer beneath the skin of the lower leg or ankle, measuring less than 3 centimeters.

Hospitals typically charge $1,650 cash for this outpatient procedure — the median across 927 hospitals that filed a usable cash price; the average of the middle 60% is $1,729. Most fall between $726 and $3,500 (20th–80th percentile).

Hospitals
927
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 927 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
$503$837$1,650$2,988$5,810

The most expensive tenth of hospitals charges at least 12× what the cheapest tenth charges ($503 vs $5,810).

How the prices are spread

$357 – $481: 48 hospitals$357$481 – $648: 63 hospitals$648 – $872: 95 hospitals$648$872 – $1,175: 111 hospitals$1,175 – $1,582: 87 hospitals$1,175$1,582 – $2,130: 149 hospitals$2,130 – $2,868: 88 hospitals$2,130$2,868 – $3,863: 87 hospitals$3,863 – $5,201: 52 hospitals$3,863$5,201 – $7,004: 62 hospitals$5,201median $1,650price bands are equal on a log scale
Hospitals per price band (842 of 927 — the bands cover the 5th to 95th percentile)
FromToHospitals
$357$48148
$481$64863
$648$87295
$872$1,175111
$1,175$1,58287
$1,582$2,130149
$2,130$2,86888
$2,868$3,86387
$3,863$5,20152
$5,201$7,00462

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,687
Median cash price$1,650
Cash as a multiple of Medicare0.98×

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 $1,650.

Alaska: 3 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 7 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 9 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 $1,214 across 25 hospitalsWA$1,214Idaho: median $2,781 across 12 hospitalsID$2,781Montana: 8 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 8 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $1,229 across 34 hospitalsMN$1,229Illinois: median $1,265 across 39 hospitalsIL$1,265Wisconsin: median $1,720 across 53 hospitalsWI$1,720Michigan: median $598 across 40 hospitalsMI$598New York: median $1,466 across 61 hospitalsNY$1,466Massachusetts: median $3,028 across 12 hospitalsMA$3,028Oregon: median $1,551 across 21 hospitalsOR$1,551Nevada: 6 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 7 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 5 hospitals filed a usable price — fewer than 10, so no figureSDIowa: median $1,155 across 37 hospitalsIA$1,155Indiana: median $1,927 across 27 hospitalsIN$1,927Ohio: median $1,335 across 35 hospitalsOH$1,335Pennsylvania: median $1,904 across 51 hospitalsPA$1,904New Jersey: median $2,162 across 36 hospitalsNJ$2,162Connecticut: 3 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: 3 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $3,323 across 52 hospitalsCA$3,323Utah: 2 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $1,592 across 14 hospitalsCO$1,592Nebraska: median $1,250 across 20 hospitalsNE$1,250Missouri: median $1,745 across 17 hospitalsMO$1,745Kentucky: median $488 across 10 hospitalsKY$488West Virginia: median $1,442 across 22 hospitalsWV$1,442Virginia: median $4,358 across 30 hospitalsVA$4,358Maryland: 2 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: 5 hospitals filed a usable price — fewer than 10, so no figureNMKansas: median $780 across 27 hospitalsKS$780Arkansas: 9 hospitals filed a usable price — fewer than 10, so no figureARTennessee: median $868 across 11 hospitalsTN$868North Carolina: median $1,591 across 12 hospitalsNC$1,591South Carolina: 6 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $671 across 13 hospitalsOK$671Louisiana: median $1,625 across 17 hospitalsLA$1,625Mississippi: median $827 across 12 hospitalsMS$827Alabama: median $1,852 across 10 hospitalsAL$1,852Georgia: median $5,810 across 12 hospitalsGA$5,810Hawaii: 6 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $2,672 across 40 hospitalsTX$2,672Florida: median $2,305 across 19 hospitalsFL$2,305
Cash price by state, most expensive first. National median $1,650. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Georgia GA12$5,810+252%$3,766 – $5,810
Virginia VA30$4,358+164%$837 – $4,812
California CA52$3,323+101%$1,196 – $6,378
Massachusetts MA12$3,028+84%$1,868 – $5,581
Idaho ID12$2,781+69%$1,225 – $4,347
Texas TX40$2,672+62%$1,457 – $3,856
Florida FL19$2,305+40%$1,030 – $18,191
New Jersey NJ36$2,162+31%$1,795 – $5,339
Indiana IN27$1,927+17%$537 – $2,904
Pennsylvania PA51$1,904+15%$510 – $3,165
Alabama AL10$1,852+12%$997 – $2,805
Missouri MO17$1,745+6%$703 – $2,975
Wisconsin WI53$1,720+4%$1,217 – $2,296
Louisiana LA17$1,625−2%$840 – $2,405
Colorado CO14$1,592−4%$693 – $3,551
North Carolina NC12$1,591−4%$824 – $3,789
Oregon OR21$1,551−6%$883 – $2,011
New York NY61$1,466−11%$599 – $3,399
West Virginia WV22$1,442−13%$333 – $2,110
Ohio OH35$1,335−19%$777 – $4,844
Illinois IL39$1,265−23%$638 – $7,004
Nebraska NE20$1,250−24%$811 – $2,519
Minnesota MN34$1,229−26%$683 – $1,919
Washington WA25$1,214−26%$734 – $2,690
Iowa IA37$1,155−30%$736 – $1,226
Tennessee TN11$868−47%$466 – $3,446
Mississippi MS12$827−50%$459 – $1,067
Kansas KS27$780−53%$432 – $1,751
Oklahoma OK13$671−59%$671 – $3,184
Michigan MI40$598−64%$357 – $2,271
Kentucky KY10$488−70%$433 – $558
Arkansas AR9not enough hospitals filed a usable price
New Hampshire NH9not enough hospitals filed a usable price
Vermont VT9not enough hospitals filed a usable price
Arizona AZ8not enough hospitals filed a usable price
Montana MT8not enough hospitals filed a usable price
North Dakota ND8not enough hospitals filed a usable price
Maine ME7not enough hospitals filed a usable price
Wyoming WY7not enough hospitals filed a usable price
Hawaii HI6not enough hospitals filed a usable price
Nevada NV6not enough hospitals filed a usable price
South Carolina SC6not enough hospitals filed a usable price
New Mexico NM5not enough hospitals filed a usable price
South Dakota SD5not enough hospitals filed a usable price
Alaska AK3not enough hospitals filed a usable price
Connecticut CT3not enough hospitals filed a usable price
Rhode Island RI3not enough hospitals filed a usable price
Maryland MD2not enough hospitals filed a usable price
Utah UT2not 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 $1,650.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care645$1,917$837 – $4,244
Children’s15fewer than 20 hospitals
Critical access266$1,121$590 – $2,202
Ownership
For-profit79$2,228$811 – $5,771
Government185$1,307$649 – $2,356
Non-profit662$1,711$739 – $3,649
System affiliation
Part of a system703$1,824$819 – $3,856
Independent224$1,182$595 – $2,253

Cash price vs list price

Median list price (chargemaster)$2,181
Median cash price$1,650
Cash as a share of list, median hospital64%

At the typical hospital, asking for the cash price cuts the list price by about 36%. 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

514 hospitals filed a usable inpatient cash price for this code. The median is $1,610 and the average of the middle 60% is $1,751; most fall between $726 and $3,551.

Cash price percentiles, inpatient, across 514 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
$537$837$1,610$3,248$5,055

The most expensive tenth of hospitals charges at least 9.4× what the cheapest tenth charges ($537 vs $5,055).

Of the 573 hospitals that filed this code inpatient, 514 gave a usable cash price; 25 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 34 a list price only.

How complete is this

927 of the 3,956 hospitals with a price file in our corpus (23%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,020 hospitals that filed this code at all gave us
Usable cash price — counted927
Cash price carrying a plausibility flag — shown on the compare tool, excluded here56
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded4
A list price only, no cash figure — excluded32
Hospitals that filed this code1,020

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 PR Resec Tumor Lower Leg,Subcut.

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 small tumor under the skin of the leg or ankle (CPT 27618) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-27618-removal-of-a-small-tumor-under-the-skin-of-the-leg-or-ankle