Price Checker / CPT 11104
How much does Punch Bx Skin Single Lesion cost?
CPT 11104 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 23x the fair price — among the most extreme markups. Dispute this.
Fair price
$420–$490
What this should cost
With insurance
~$89,100
Typical out-of-pocket
Overcharged if over
$610
Push back above this
The average hospital charge of $10,393 is $9,933 over the fair price (about 23x the fair rate).
What hospitals charge for Punch Bx Skin Single Lesion
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Stony Brook University Hospital , NY | $1,721 | — | 62610% |
| John Muir Health Walnut Creek Medical Center , CA | $60,228 | $3,272 | 49572% |
| CHRISTUS Louisiana Surgical Hospital , LA | — | $565 | 25877% |
| Los Alamos Medical Center LOS ALAMOS, NY | $26,920 | — | 22102% |
| Franciscan Health Olympia Fields , IL | $20,887 | $4,177 | 17126% |
| Mena Hospital Commission dba Mena Regional Health System , AR | $11,006 | $6,603 | 8977% |
| The Brooklyn Hospital Center , NY | $775 | — | 5936% |
| Beartooth Billings Clinic RED LODGE, MT | $7,262 | — | 5890% |
| UPMC Chautauqua , NY | — | — | 4373% |
| 62-1113167 BMH Tipton , TN | — | — | 3795% |
| Edgerton Hospital and Health Services EDGERTON, WI | $1,329 | $970 | 996% |
| EHHS Milton Clinic , WI | $1,329 | $970 | 996% |
| Crockett Medical Center Clinic Crockett, TX | $1,384 | — | 699% |
| EHHS Milton Clinic Medicare , WI | $889 | $649 | 633% |
| Barnes-Kasson County Hospital SUSQUEHANNA, PA | $327 | $229 | 170% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Punch Bx Skin Single Lesion
CPT code 11104 refers to punch bx skin single lesion (billing description: "Punch bx skin single lesion"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $38 in a facility (hospital or surgery center) and $121 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.