Punch biopsy, each additional skin growth
Medicare pricing data for 18,008 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, each additional skin growth (HCPCS code 11105) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $51.60, but hospitals typically charge $145.65 — a 2.8x 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 $51.60, your out-of-pocket cost would be approximately $10.32. 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 2.8x more than what Medicare allows for this procedure. Medicare actually pays $40.36 on average.
Cost by State
Medicare-allowed amounts vary significantly by state
| State | Allowed Cost | Hospital Charge | Providers | Services | vs. National |
|---|---|---|---|---|---|
| New Jersey | $62 | $159 | 436 | 1,476 | +19.7% |
| Hawaii | $61 | $125 | 57 | 169 | +17.6% |
| Puerto Rico | $59 | $65 | 10 | 12 | +14.6% |
| District of Columbia | $59 | $151 | 57 | 281 | +14.0% |
| California | $59 | $158 | 1,504 | 7,735 | +13.9% |
| Connecticut | $58 | $200 | 185 | 634 | +13.4% |
| Wyoming | $57 | $163 | 40 | 337 | +10.3% |
| New York | $56 | $181 | 908 | 3,208 | +9.1% |
| Colorado | $56 | $136 | 316 | 1,110 | +8.8% |
| Florida | $55 | $134 | 1,539 | 9,130 | +7.4% |
| Alaska | $55 | $257 | 54 | 114 | +7.0% |
| Maryland | $55 | $140 | 384 | 2,004 | +6.6% |
| Nevada | $54 | $168 | 131 | 522 | +5.4% |
| Virginia | $54 | $135 | 479 | 2,206 | +4.3% |
| Rhode Island | $53 | $128 | 79 | 229 | +3.2% |
| Illinois | $52 | $150 | 718 | 3,689 | +1.3% |
| Texas | $52 | $144 | 1,079 | 4,570 | +1.2% |
| Arizona | $52 | $136 | 481 | 2,613 | +1.1% |
| Massachusetts | $52 | $177 | 574 | 3,110 | -0.0% |
| Delaware | $51 | $109 | 62 | 343 | -1.3% |
| Georgia | $51 | $144 | 452 | 1,919 | -1.5% |
| Oregon | $51 | $150 | 280 | 1,227 | -2.1% |
| Washington | $50 | $134 | 464 | 2,033 | -2.3% |
| Michigan | $50 | $120 | 512 | 1,580 | -2.4% |
| South Carolina | $49 | $123 | 311 | 1,549 | -4.6% |
| Pennsylvania | $49 | $127 | 741 | 2,280 | -5.9% |
| Kentucky | $48 | $127 | 251 | 1,315 | -6.2% |
| Louisiana | $48 | $120 | 192 | 563 | -7.0% |
| Tennessee | $48 | $111 | 402 | 1,893 | -7.1% |
| New Mexico | $48 | $114 | 100 | 330 | -7.5% |
| Mississippi | $48 | $112 | 143 | 648 | -7.5% |
| Alabama | $48 | $109 | 257 | 1,335 | -7.6% |
| North Carolina | $48 | $151 | 684 | 3,011 | -7.7% |
| Missouri | $47 | $131 | 362 | 1,338 | -8.1% |
| Utah | $47 | $137 | 199 | 670 | -8.6% |
| Oklahoma | $47 | $129 | 181 | 466 | -9.2% |
| Idaho | $46 | $123 | 130 | 549 | -10.0% |
| Kansas | $46 | $134 | 218 | 1,035 | -10.2% |
| Nebraska | $46 | $139 | 159 | 565 | -10.2% |
| Ohio | $46 | $130 | 644 | 1,997 | -11.7% |
| Indiana | $45 | $179 | 372 | 2,401 | -12.1% |
| Minnesota | $45 | $190 | 400 | 1,290 | -12.3% |
| Arkansas | $45 | $95 | 165 | 584 | -12.7% |
| Montana | $45 | $108 | 94 | 419 | -13.4% |
| New Hampshire | $44 | $150 | 106 | 380 | -14.3% |
| West Virginia | $44 | $132 | 122 | 611 | -14.4% |
| Iowa | $44 | $139 | 260 | 1,042 | -15.6% |
| Maine | $43 | $119 | 91 | 185 | -15.8% |
| Vermont | $43 | $129 | 39 | 116 | -17.3% |
| Wisconsin | $42 | $252 | 396 | 1,389 | -18.8% |
| South Dakota | $37 | $115 | 90 | 300 | -27.8% |
| North Dakota | $35 | $104 | 82 | 238 | -32.2% |
⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.
💊 Need post-procedure medications? Check costs on OpenPrescriber