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What the whole skin lesion removal costs

Cutting out a benign (11403) or malignant (11603) skin lesion 2.1-3.0 cm on the trunk, arms or legs. Every bill that usually comes with it, who sends it, and where each number comes from.

Price it for your ZIP, hospital or insurerRates by insurer

Medicare, national amounts, 2026

BillSurgery centerHospital outpatient
Facility$132$723
Surgeon$136$136
Before surgery (typical)$177$177
After surgery (typical)$70$35
Total$515$1,072

National Medicare amounts (payment-area and wage adjustments at 1.0). Facility: OPPS Addendum B, July 2026 (national unadjusted rate); local = rate × (0.6 × wage index + 0.4); ASC Addendum AA, July 2026 (national rate); local = rate × (0.5 × wage index + 0.5); device-intensive (J8) codes keep the device portion unadjusted; FY 2026 IPPS final rule CMS-1833-F, Table 5; standard amounts from Tables 1A-1E; local = weight × (labor × wage index + non-labor + capital × wage index^0.6848). Leaves out teaching (IME), safety-net (DSH) and outlier add-ons. Surgeon: CMS Physician Fee Schedule CY2026 (RVU26D). Anesthesia: CMS base units × the CY2026 anesthesia conversion factor, with an assumed case time. An educational estimate, not a quote.

Line by line (surgery center)

Questions

How much does a skin lesion removal cost in total, with every bill?

At national Medicare rates for 2026, the whole skin lesion removal comes to about $515 in a surgery center and about $1,072 in a hospital outpatient, counting the facility, the surgeon and typical care before and after. Commercial plans usually pay more; local rates differ by area.

Why do I get separate bills for a skin lesion removal?

The surgery center bills for the facility; the surgeon's group bills for the operation (Surgeon, CPT 11403, about $136 from Medicare nationally); labs, imaging, pathology and therapy each come from their own provider.

What does the surgeon's fee include?

10-day global: covers the operation and 10 days of routine follow-up.