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Skin biopsy: what insurers pay

Removing a small piece of skin for testing: tangential/shave (11102) or punch (11104). Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 11102: Tangntl Bx Skin Single Les

100 hospitals in 34 markets. National Medicare rate $415, surgery center $73.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA4———$2,165–$2,534
Austin TX2———$969–$1,733
Boston MA7$364$423$526$283–$1,121
Chicago IL7$870$1,174$1,570$511–$1,950
Cleveland OH5$1,984$2,344$2,693$1,794–$2,763
Columbus OH1———$722–$722
Dallas-Fort Worth TX4———$940–$1,757
Denver CO7$1,037$1,989$2,076$902–$2,160
Detroit MI1———$262–$262
Georgia (statewide)1———$1,580–$1,580
Illinois (statewide)1———$502–$502
Indianapolis IN2———$569–$1,820
Kansas (statewide)1———$1,898–$1,898
Las Vegas NV2———$546–$1,688
Los Angeles CA1———$1,346–$1,346
Miami-Fort Lauderdale FL3———$366–$2,017
Minneapolis-St. Paul MN5$361$365$456$280–$654
Nashville TN4———$266–$1,482
New York (statewide)1———$2,300–$2,300
New York City2———$556–$1,352
Ohio (statewide)1———$842–$842
Philadelphia PA4———$589–$1,810
Phoenix AZ3———$2,044–$2,044
Pittsburgh PA1———$354–$354
Portland OR6$753$796$796$739–$796
Research Triangle NC2———$313–$315
Richmond VA2———$1,948–$2,009
San Antonio TX1———$1,913–$1,913
San Francisco Bay Area CA1———$574–$574
Seattle-Tacoma WA6$688$788$836$670–$1,098
St. Louis MO3———$1,166–$2,022
Tampa FL2———$972–$2,482
Washington DC6$902$1,422$1,768$826–$1,770
Wisconsin (statewide)1———$981–$981
HospitalMarketMedian across insurers× MedicareInsurersFile date
Harper University HospitalDetroit MI$2620.7×22026-09-02
Ascension Saint Thomas RutherfordNashville TN$2660.7×12026-01-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$2660.7×12026-01-01
Buffalo HospitalMinneapolis-St. Paul MN$2800.7×22026-06-16
Winchester HospitalBoston MA$2830.6×12026-04-01
UNC Hospitals (Chapel Hill)Research Triangle NC$3130.8×42026-04-01
UNC Rex HospitalResearch Triangle NC$3150.8×22026-04-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$3380.7×12026-04-01
Upmc Presbyterian ShadysidePittsburgh PA$3540.9×12026-03-06
Mercy Hospital (Allina, Coon Rapids)Minneapolis-St. Paul MN$3610.8×22026-06-17
United Hospital (Allina)Minneapolis-St. Paul MN$3650.9×22026-06-16
Doctors HospitalMiami-Fort Lauderdale FL$3660.9×32026-03-30
Lahey Hospital & Medical Center, BurlingtonBoston MA$3900.8×12026-04-01
Vanderbilt University Medical CenterNashville TN$4011.0×52025-10-01
Beth Israel Deaconess Medical CenterBoston MA$4230.9×12026-04-01
Abbott Northwestern HospitalMinneapolis-St. Paul MN$4561.1×32026-06-16
Sarah Bush Lincoln Health CenterIllinois (statewide)$5021.1×22026-06-03
Endeavor Health Edward HospitalChicago IL$5111.2×22026-04-01
Anna Jaques HospitalBoston MA$5211.1×22026-04-01
New England Baptist HospitalBoston MA$5321.1×32026-04-01
University Medical Center of Southern NevadaLas Vegas NV$5461.3×72026-07-01
Montefiore Medical CenterNew York City$5561.1×82026-04-01
Hendricks Regional HealthIndianapolis IN$5691.3×12026-05-20
John Muir Medical Center - Walnut Creek CampusSan Francisco Bay Area CA$5741.0×12026-03-23
Jefferson Stratford HospitalPhiladelphia PA$5891.3×12026-09-15
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$6541.5×32026-03-31
St Clare HospitalSeattle-Tacoma WA$6701.4×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$6701.4×62026-02-28
Mount Carmel New Albany Surgical HospitalColumbus OH$7221.8×182026-03-31
Boca Raton Regional HospitalMiami-Fort Lauderdale FL$7321.7×22026-03-30
Providence St Vincent Medical CenterPortland OR$7391.6×12026-04-01
Providence Portland Medical CenterPortland OR$7391.6×12026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$7401.6×42026-04-01
Endeavor Health Northwest Community HospitalChicago IL$7861.8×22026-04-01
Legacy Emanuel Medical CenterPortland OR$7961.8×22026-04-01
Legacy Good Samaritan Medical CenterPortland OR$7961.8×22026-04-01
Legacy Mount Hood Medical CenterPortland OR$7961.8×22026-04-01
Legacy Meridian Park Medical CenterPortland OR$7961.8×22026-04-01
Medstar Washington Hospital CenterWashington DC$8261.7×42026-04-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$8361.8×72026-08-27
Tacoma General Allenmore HospitalSeattle-Tacoma WA$8361.8×72026-08-27
Bethesda NorthOhio (statewide)$8422.1×32026-04-01
Inova Alexandria HospitalWashington DC$8422.0×62026-04-01
UCHealth University of Colorado HospitalDenver CO$9022.1×22025-11-01
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$9402.3×22026-04-21
Rush University Medical CenterChicago IL$9542.2×22026-09-25
Ascension Seton Medical Center AustinAustin TX$9692.4×12026-01-01
Tampa General HospitalTampa FL$9722.3×12026-04-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$9812.4×22026-01-01
Thomas Jefferson University HospitalPhiladelphia PA$1,0092.4×22026-09-15
Adventhealth PorterDenver CO$1,0372.4×32026-04-01
Adventhealth ParkerDenver CO$1,0372.4×32026-04-01
Baylor University Medical CenterDallas-Fort Worth TX$1,0762.6×22026-06-29
Medstar Georgetown University HospitalWashington DC$1,0812.3×32026-04-01
Swedish Medical CenterSeattle-Tacoma WA$1,0982.3×42026-04-01
Beverly Hospital CorporationBoston MA$1,1212.3×22026-04-01
Mercy Hospital St LouisSt. Louis MO$1,1662.9×22026-06-04
Endeavor Health Elmhurst HospitalChicago IL$1,1742.7×22026-04-01
Loyola University Medical CenterChicago IL$1,2662.9×12026-03-31
Keck Hospital Of UscLos Angeles CA$1,3462.6×42026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$1,3522.7×32026-01-01
TriStar StoneCrest Medical CenterNashville TN$1,4823.8×42026-09-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$1,5804.4×12026-04-01
Henderson HospitalLas Vegas NV$1,6883.9×32026-09-01
St David's Medical CenterAustin TX$1,7334.3×22026-09-01
Medical City PlanoDallas-Fort Worth TX$1,7574.3×32026-09-01
Medical City MckinneyDallas-Fort Worth TX$1,7574.3×32026-09-01
George Washington Univ HospitalWashington DC$1,7633.7×22026-09-01
Riddle Memorial HospitalPhiladelphia PA$1,7684.2×22026-04-01
Reston Hospital CenterWashington DC$1,7704.2×32026-09-01
Stonesprings Hospital CenterWashington DC$1,7704.2×32026-09-01
University Hospitals - Elyria Medical CenterCleveland OH$1,7944.7×22026-07-14
Bryn Mawr HospitalPhiladelphia PA$1,8104.3×22026-04-01
Riverview HealthIndianapolis IN$1,8204.2×22026-04-01
Endeavor Health Evanston HospitalChicago IL$1,8754.3×22026-04-01
Menorah Medical CenterKansas (statewide)$1,8984.9×32026-09-01
Methodist HospitalSan Antonio TX$1,9134.7×32026-09-01
Henrico Doctors' HospitalRichmond VA$1,9484.9×22026-09-01
University of Chicago Medical CenterChicago IL$1,9504.5×22026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$1,9845.2×22026-06-15
HCA HealthONE SwedishDenver CO$1,9894.6×42026-09-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$2,0095.1×22026-09-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$2,0174.8×32026-06-15
Mercy Hospital JeffersonSt. Louis MO$2,0225.0×12026-06-10
Mercy Hospital SouthSt. Louis MO$2,0225.0×12026-06-10
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$2,0444.7×22026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$2,0444.7×22026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$2,0444.7×22026-04-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$2,0524.8×42026-09-01
HCA HealthONE Sky RidgeDenver CO$2,1004.9×42026-09-01
Hca Healthone RoseDenver CO$2,1605.0×42026-09-01
Emory University HospitalAtlanta GA$2,1655.3×22026-04-01
Stony Brook University HospitalNew York (statewide)$2,3004.5×22026-06-10
Cleveland Clinic (main campus)Cleveland OH$2,3446.1×22026-06-16
Morton Plant HospitalTampa FL$2,4825.8×12026-01-01
Piedmont Atlanta HospitalAtlanta GA$2,5346.2×12026-07-01
Piedmont Fayette HospitalAtlanta GA$2,5346.2×12026-07-01
Piedmont Newnan HospitalAtlanta GA$2,5346.2×12026-07-01
Medina HospitalCleveland OH$2,6937.0×32026-06-15
Cleveland Clinic Lutheran HospitalCleveland OH$2,7637.2×22026-06-15

CPT 11104: Punch Bx Skin Single Lesion

102 hospitals in 34 markets. National Medicare rate $415, surgery center $92.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$2,165–$2,165
Austin TX2———$678–$1,849
Boston MA7$406$521$704$283–$1,121
Chicago IL7$648$955$1,220$412–$1,950
Cleveland OH5$1,984$2,344$2,693$1,794–$2,763
Columbus OH1———$1,462–$1,462
Dallas-Fort Worth TX4———$866–$1,757
Denver CO7$1,037$1,989$2,076$922–$2,160
Detroit MI2———$334–$440
Georgia (statewide)1———$1,580–$1,580
Illinois (statewide)1———$502–$502
Indianapolis IN2———$825–$1,528
Kansas (statewide)1———$1,119–$1,119
Las Vegas NV2———$790–$1,688
Los Angeles CA1———$1,346–$1,346
Miami-Fort Lauderdale FL4———$366–$1,914
Minneapolis-St. Paul MN6$627$642$852$314–$1,084
Nashville TN4———$406–$1,482
New York (statewide)1———$2,300–$2,300
New York City3———$508–$2,974
Ohio (statewide)1———$842–$842
Philadelphia PA4———$589–$1,810
Phoenix AZ3———$1,448–$1,448
Pittsburgh PA1———$444–$444
Portland OR6$796$796$1,266$796–$1,422
Research Triangle NC3———$315–$1,350
Richmond VA2———$1,948–$2,009
San Antonio TX1———$1,913–$1,913
San Francisco Bay Area CA2———$574–$574
Seattle-Tacoma WA6$1,334$1,394$1,481$1,161–$1,490
St. Louis MO2———$310–$3,153
Tampa FL2———$972–$1,450
Washington DC6$1,058$1,422$1,768$879–$1,770
Wisconsin (statewide)1———$981–$981
HospitalMarketMedian across insurers× MedicareInsurersFile date
Winchester HospitalBoston MA$2830.6×12026-04-01
Mercy Hospital St LouisSt. Louis MO$3100.8×12026-06-04
Buffalo HospitalMinneapolis-St. Paul MN$3140.7×22026-06-16
UNC Hospitals (Chapel Hill)Research Triangle NC$3150.8×42026-04-01
Henry Ford Health Rochester HospitalDetroit MI$3340.8×22026-01-01
Doctors HospitalMiami-Fort Lauderdale FL$3660.9×32026-03-30
Lahey Hospital & Medical Center, BurlingtonBoston MA$3900.8×12026-04-01
Vanderbilt University Medical CenterNashville TN$4061.0×62025-10-01
Endeavor Health Evanston HospitalChicago IL$4120.9×32026-04-01
Beth Israel Deaconess Medical CenterBoston MA$4230.9×12026-04-01
Harper University HospitalDetroit MI$4401.1×22026-09-02
Upmc Presbyterian ShadysidePittsburgh PA$4441.1×12026-03-06
Sarah Bush Lincoln Health CenterIllinois (statewide)$5021.1×22026-06-03
Montefiore Medical CenterNew York City$5081.0×92026-04-01
Endeavor Health Edward HospitalChicago IL$5111.2×22026-04-01
Anna Jaques HospitalBoston MA$5211.1×22026-04-01
New England Baptist HospitalBoston MA$5321.1×32026-04-01
Ascension Saint Thomas RutherfordNashville TN$5361.4×12026-01-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$5361.4×12026-01-01
John Muir Medical Center - Walnut Creek CampusSan Francisco Bay Area CA$5741.0×12026-03-23
John Muir Medical Center - Concord CampusSan Francisco Bay Area CA$5741.0×12026-03-23
Jefferson Stratford HospitalPhiladelphia PA$5891.3×12026-09-15
Mercy Hospital (Allina, Coon Rapids)Minneapolis-St. Paul MN$6261.5×22026-06-17
United Hospital (Allina)Minneapolis-St. Paul MN$6301.5×22026-06-16
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$6541.5×32026-03-31
Ascension Seton Medical Center AustinAustin TX$6781.7×22026-01-01
Boca Raton Regional HospitalMiami-Fort Lauderdale FL$7541.8×22026-03-30
Endeavor Health Northwest Community HospitalChicago IL$7861.8×22026-04-01
University Medical Center of Southern NevadaLas Vegas NV$7901.8×72026-07-01
Legacy Emanuel Medical CenterPortland OR$7961.8×22026-04-01
Legacy Good Samaritan Medical CenterPortland OR$7961.8×22026-04-01
Legacy Mount Hood Medical CenterPortland OR$7961.8×22026-04-01
Legacy Meridian Park Medical CenterPortland OR$7961.8×22026-04-01
Hendricks Regional HealthIndianapolis IN$8251.9×12026-05-20
UNC Rex HospitalResearch Triangle NC$8322.0×12026-04-01
Bethesda NorthOhio (statewide)$8422.1×32026-04-01
Mount Sinai Medical Center Of Florida, IncMiami-Fort Lauderdale FL$8432.0×52026-03-13
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$8662.1×22026-04-21
Beth Israel Deaconess Hospital - PlymouthBoston MA$8751.8×22026-04-01
Medstar Washington Hospital CenterWashington DC$8791.8×42026-04-01
Abbott Northwestern HospitalMinneapolis-St. Paul MN$9182.1×32026-06-16
UCHealth University of Colorado HospitalDenver CO$9222.1×22025-11-01
Rush University Medical CenterChicago IL$9552.2×22026-09-25
Tampa General HospitalTampa FL$9722.3×12026-04-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$9812.4×22026-01-01
Thomas Jefferson University HospitalPhiladelphia PA$1,0092.4×22026-09-15
Adventhealth PorterDenver CO$1,0372.4×32026-04-01
Adventhealth ParkerDenver CO$1,0372.4×32026-04-01
Inova Alexandria HospitalWashington DC$1,0512.5×62026-04-01
Baylor University Medical CenterDallas-Fort Worth TX$1,0722.6×22026-06-29
Medstar Georgetown University HospitalWashington DC$1,0812.3×32026-04-01
Lakeview Memorial HospitalMinneapolis-St. Paul MN$1,0842.5×42026-03-31
Menorah Medical CenterKansas (statewide)$1,1192.9×32026-09-01
Beverly Hospital CorporationBoston MA$1,1212.3×22026-04-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$1,1612.5×42026-04-01
Endeavor Health Elmhurst HospitalChicago IL$1,1742.7×22026-04-01
Loyola University Medical CenterChicago IL$1,2662.9×12026-03-31
St Clare HospitalSeattle-Tacoma WA$1,3342.8×62026-02-28
St Anthony HospitalSeattle-Tacoma WA$1,3342.8×62026-02-28
Keck Hospital Of UscLos Angeles CA$1,3462.6×42026-04-01
North Carolina Specialty HospitalResearch Triangle NC$1,3503.3×12026-02-25
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$1,3522.7×32026-01-01
Providence St Vincent Medical CenterPortland OR$1,4223.1×12026-04-01
Providence Portland Medical CenterPortland OR$1,4223.1×12026-04-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$1,4483.3×32026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$1,4483.3×32026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$1,4483.3×32026-04-01
Morton Plant HospitalTampa FL$1,4503.4×22026-01-01
Swedish Medical CenterSeattle-Tacoma WA$1,4533.1×42026-04-01
Mount Carmel New Albany Surgical HospitalColumbus OH$1,4623.7×182026-03-31
TriStar StoneCrest Medical CenterNashville TN$1,4823.8×42026-09-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$1,4903.1×72026-08-27
Tacoma General Allenmore HospitalSeattle-Tacoma WA$1,4903.1×72026-08-27
Riverview HealthIndianapolis IN$1,5283.5×22026-04-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$1,5804.4×12026-04-01
Henderson HospitalLas Vegas NV$1,6883.9×32026-09-01
Medical City PlanoDallas-Fort Worth TX$1,7574.3×32026-09-01
Medical City MckinneyDallas-Fort Worth TX$1,7574.3×32026-09-01
George Washington Univ HospitalWashington DC$1,7633.7×22026-09-01
Riddle Memorial HospitalPhiladelphia PA$1,7684.2×22026-04-01
Reston Hospital CenterWashington DC$1,7704.2×32026-09-01
Stonesprings Hospital CenterWashington DC$1,7704.2×32026-09-01
University Hospitals - Elyria Medical CenterCleveland OH$1,7944.7×22026-07-14
Bryn Mawr HospitalPhiladelphia PA$1,8104.3×22026-04-01
St David's Medical CenterAustin TX$1,8494.5×22026-09-01
Methodist HospitalSan Antonio TX$1,9134.7×32026-09-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$1,9144.5×32026-06-15
Henrico Doctors' HospitalRichmond VA$1,9484.9×22026-09-01
University of Chicago Medical CenterChicago IL$1,9504.5×22026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$1,9845.2×22026-06-15
HCA HealthONE SwedishDenver CO$1,9894.6×42026-09-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$2,0095.1×22026-09-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$2,0524.8×42026-09-01
HCA HealthONE Sky RidgeDenver CO$2,1004.9×42026-09-01
Hca Healthone RoseDenver CO$2,1605.0×42026-09-01
Emory University HospitalAtlanta GA$2,1655.3×22026-04-01
Stony Brook University HospitalNew York (statewide)$2,3004.5×22026-06-10
Cleveland Clinic (main campus)Cleveland OH$2,3446.1×22026-06-16
Medina HospitalCleveland OH$2,6937.0×32026-06-15
Cleveland Clinic Lutheran HospitalCleveland OH$2,7637.2×22026-06-15
Hospital for Special SurgeryNew York City$2,9745.9×32026-04-01
Mercy Hospital SouthSt. Louis MO$3,1537.8×12026-06-10

Questions

How much do commercial insurers pay hospitals for skin biopsy?

Across 100 hospitals in 34 metro areas that post a usable dollar rate, the median commercial rate for CPT 11102, hospital outpatient is $1,023, 2.4× the same hospital's local Medicare base rate. The middle half of hospitals runs $638 to $1,881. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for skin biopsy?

Medicare's national hospital outpatient rate for CPT 11102 is $415 and its surgery-center rate is $73, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for skin biopsy?

Lowest medians: Harper University Hospital ($262), Ascension Saint Thomas Rutherford ($266), Ascension Saint Thomas Hospital (Midtown + West) ($266). Highest: Cleveland Clinic Lutheran Hospital ($2,763), Medina Hospital ($2,693), Piedmont Newnan Hospital ($2,534). Coverage is limited to the markets listed on this page.