Price Checker / CPT 11105
How much does Punch Bx Skin Ea Sep/addl cost?
CPT 11105 · 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
$300–$360
What this should cost
With insurance
~$115,100
Typical out-of-pocket
Overcharged if over
$450
Push back above this
The average hospital charge of $7,545 is $7,215 over the fair price (about 23x the fair rate).
What hospitals charge for Punch Bx Skin Ea Sep/addl
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Aurora Psychiatric Hospital WAUWATOSA, WI | — | — | 37049% |
| UCSF Health Saint Francis Hospital SAN FRANCISCO, CA | — | — | 35396% |
| The Christ Hospital Inpatient Psychiatry , OH | $14,840 | $8,904 | 24445% |
| The Christ Hospital Inpatient Rehab , OH | $14,840 | $8,904 | 24445% |
| The Christ Hospital Liberty , OH | $14,840 | $8,904 | 24445% |
| The Christ Hospital , OH | $14,840 | $8,904 | 24445% |
| UPMC Carlisle CARLISLE, PA | — | — | 16941% |
| Beartooth Billings Clinic RED LODGE, MT | $7,262 | — | 11912% |
| UPMC Chautauqua , NY | — | — | 8871% |
| UPMC Horizon-Greenville GREENVILLE, PA | $1,498 | $1,198 | 2378% |
| UPMC Horizon GREENVILLE, PA | $1,498 | $1,198 | 2378% |
| UPMC Horizon-Shenango GREENVILLE, PA | $1,498 | $1,198 | 2378% |
| Crockett Medical Center Clinic Crockett, TX | $1,384 | — | 1617% |
| Edgerton Hospital and Health Services EDGERTON, WI | $967 | $706 | 1499% |
| EHHS Milton Clinic , WI | $967 | $706 | 1499% |
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 Ea Sep/addl
CPT code 11105 refers to punch bx skin ea sep/addl (billing description: "Punch bx skin ea sep/addl"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $21 in a facility (hospital or surgery center) and $60 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.