Punch biopsy, first skin growth
Medicare pricing data for 44,518 providers across 52 states
Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.
💡 What You Should Know
Punch biopsy, first skin growth (HCPCS code 11104) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $108.51, but hospitals typically charge $283.29 — a 2.6x markup. Prices vary significantly by state and provider.
🏷️ Typical Out-of-Pocket Cost
Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $108.51, your out-of-pocket cost would be approximately $21.70. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.
What Hospitals Charge vs. What Medicare Pays
Hospitals charge 2.6x more than what Medicare allows for this procedure. Medicare actually pays $79.53 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $130 | $320 | 1,004 | 6,126 | +19.6% |
| California | $127 | $309 | 3,561 | 28,708 | +17.0% |
| District of Columbia | $123 | $284 | 102 | 642 | +13.5% |
| Puerto Rico | $123 | $134 | 47 | 140 | +13.1% |
| Maryland | $122 | $288 | 783 | 6,757 | +12.7% |
| Alaska | $122 | $536 | 192 | 666 | +12.5% |
| Hawaii | $121 | $247 | 138 | 721 | +11.5% |
| New York | $120 | $334 | 2,175 | 12,672 | +10.6% |
| Colorado | $120 | $287 | 858 | 4,665 | +10.2% |
| Connecticut | $118 | $335 | 484 | 2,111 | +9.1% |
| Wyoming | $115 | $303 | 127 | 806 | +6.2% |
| Virginia | $114 | $252 | 1,205 | 8,666 | +4.9% |
| Nevada | $114 | $280 | 266 | 1,835 | +4.7% |
| Florida | $113 | $253 | 3,307 | 30,409 | +4.6% |
| Rhode Island | $113 | $268 | 155 | 813 | +3.9% |
| Delaware | $112 | $219 | 160 | 1,530 | +3.1% |
| Massachusetts | $112 | $363 | 1,206 | 9,381 | +2.9% |
| Illinois | $111 | $305 | 1,603 | 13,131 | +2.4% |
| Arizona | $110 | $278 | 981 | 7,029 | +1.0% |
| Georgia | $108 | $287 | 1,092 | 7,457 | -0.5% |
| Oregon | $108 | $318 | 777 | 4,944 | -0.7% |
| Texas | $108 | $282 | 2,613 | 16,180 | -0.8% |
| Washington | $108 | $279 | 1,234 | 7,739 | -0.9% |
| Michigan | $105 | $240 | 1,492 | 7,037 | -3.4% |
| Pennsylvania | $105 | $242 | 1,976 | 10,782 | -3.4% |
| North Carolina | $104 | $273 | 1,666 | 10,104 | -4.4% |
| South Carolina | $104 | $240 | 751 | 5,714 | -4.5% |
| Louisiana | $102 | $242 | 540 | 3,763 | -5.7% |
| Tennessee | $101 | $231 | 1,050 | 7,899 | -7.1% |
| Mississippi | $100 | $231 | 367 | 2,776 | -7.5% |
| Utah | $100 | $262 | 501 | 2,556 | -7.9% |
| Alabama | $100 | $224 | 621 | 4,263 | -7.9% |
| Kentucky | $100 | $220 | 625 | 4,863 | -8.1% |
| Missouri | $100 | $267 | 891 | 5,237 | -8.1% |
| Kansas | $99 | $266 | 587 | 4,270 | -8.7% |
| Oklahoma | $99 | $245 | 586 | 3,013 | -9.1% |
| New Mexico | $98 | $270 | 303 | 1,362 | -9.7% |
| Ohio | $98 | $243 | 1,678 | 8,606 | -9.8% |
| Nebraska | $98 | $290 | 474 | 2,318 | -10.0% |
| New Hampshire | $96 | $310 | 294 | 1,737 | -11.6% |
| Arkansas | $95 | $201 | 435 | 2,909 | -12.2% |
| Idaho | $95 | $219 | 361 | 2,105 | -12.2% |
| Minnesota | $94 | $368 | 1,048 | 4,859 | -13.4% |
| Montana | $93 | $233 | 253 | 2,009 | -14.6% |
| Indiana | $92 | $338 | 1,041 | 8,157 | -15.2% |
| West Virginia | $92 | $257 | 250 | 2,513 | -15.3% |
| Iowa | $92 | $304 | 724 | 4,546 | -15.4% |
| Wisconsin | $89 | $487 | 1,023 | 5,313 | -17.6% |
| Maine | $87 | $239 | 284 | 962 | -20.2% |
| Vermont | $85 | $224 | 125 | 652 | -21.4% |
| North Dakota | $75 | $232 | 221 | 1,126 | -31.0% |
| South Dakota | $71 | $249 | 245 | 1,333 | -34.1% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
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