Techy SurgeonPrice AtlasInteractive atlas · All states · techysurgeon.com

Skin lesion removal: what insurers pay

Cutting out a benign (11403) or malignant (11603) skin lesion 2.1-3.0 cm on the trunk, arms or legs. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

Open the interactive explorerAll operations

CPT 11403: Skin Lesion Removal

1429 hospitals in 81 markets. National Medicare rate $723, surgery center $132.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)19$658$1,030$1,326$359–$2,328
Alaska (statewide)6$657$1,047$2,167$529–$4,527
Arizona (statewide)11$1,580$1,891$2,362$463–$3,945
Arkansas (statewide)14$663$674$1,022$637–$1,428
Atlanta GA10$3,320$3,320$3,453$2,572–$3,453
Austin TX13$699$1,076$2,318$682–$2,318
Boston MA15$850$1,284$1,440$579–$1,819
California (statewide)70$1,230$2,076$2,662$515–$6,585
Charlotte NC6$836$836$836$825–$1,003
Chicago IL10$1,091$1,848$2,782$551–$3,558
Cleveland OH11$1,666$1,938$2,314$1,340–$2,574
Colorado (statewide)18$770$1,769$2,678$438–$3,702
Columbus OH1———$2,547–$2,547
Connecticut (statewide)3———$1,304–$2,950
Dallas-Fort Worth TX14$1,403$1,901$2,012$1,063–$2,379
Denver CO15$1,660$2,368$2,806$1,083–$3,702
Detroit MI15$789$973$973$427–$3,791
Florida (statewide)64$1,950$2,244$2,487$454–$4,247
Georgia (statewide)43$1,920$2,534$2,902$450–$3,933
Hawaii (statewide)6$876$898$2,101$495–$2,540
Houston TX19$1,352$2,128$2,363$1,057–$2,956
Idaho (statewide)17$674$1,223$1,787$405–$2,132
Illinois (statewide)40$1,021$1,193$1,796$493–$3,811
Indiana (statewide)42$1,053$1,628$2,730$570–$5,496
Indianapolis IN3———$2,946–$3,178
Iowa (statewide)39$702$864$1,263$353–$3,047
Kansas (statewide)46$784$1,044$1,358$328–$4,527
Kentucky (statewide)17$974$1,443$2,480$734–$3,815
Las Vegas NV2———$1,588–$2,175
Los Angeles CA17$2,046$2,172$2,391$1,287–$3,895
Louisiana (statewide)20$654$784$1,152$352–$1,891
Maine (statewide)18$2,564$3,165$3,347$699–$4,208
Maryland (statewide)1———$3,707–$3,707
Massachusetts (statewide)12$928$1,312$1,502$663–$2,114
Miami-Fort Lauderdale FL5$810$1,072$1,498$762–$1,840
Michigan (statewide)30$710$806$1,032$396–$2,438
Minneapolis-St. Paul MN9$1,333$1,707$1,736$814–$2,025
Minnesota (statewide)16$1,298$1,788$2,195$440–$3,574
Mississippi (statewide)25$913$1,148$1,276$489–$2,580
Missouri (statewide)27$1,024$1,882$2,919$452–$5,182
Montana (statewide)7$1,156$1,478$2,072$587–$3,109
Nashville TN8$1,144$1,578$1,736$943–$1,736
Nebraska (statewide)23$661$1,252$2,611$380–$3,653
Nevada (statewide)6$1,575$2,010$2,175$1,444–$2,175
New Hampshire (statewide)6$2,477$2,810$3,094$2,259–$3,742
New Jersey (statewide)24$1,602$2,457$3,170$816–$4,025
New Mexico (statewide)9$876$1,036$3,623$655–$4,541
New York (statewide)38$1,069$1,574$2,166$547–$5,417
New York City9$2,166$2,166$3,826$864–$5,020
North Carolina (statewide)11$835$1,308$2,111$569–$2,754
North Dakota (statewide)7$863$1,242$1,722$448–$2,164
Ohio (statewide)42$1,312$1,935$2,444$361–$3,958
Oklahoma (statewide)19$1,093$1,422$1,552$462–$2,584
Oregon (statewide)14$1,220$1,780$2,411$606–$3,249
Pennsylvania (statewide)48$1,130$1,586$2,401$503–$4,284
Philadelphia PA10$1,802$2,008$2,659$982–$5,312
Phoenix AZ8$2,000$2,016$2,056$2,000–$2,130
Pittsburgh PA12$1,165$1,298$1,523$902–$1,964
Portland OR9$2,938$3,220$3,220$2,938–$3,395
Research Triangle NC3———$1,076–$5,700
Rhode Island (statewide)5$1,034$1,646$2,029$950–$2,651
Richmond VA3———$2,772–$3,138
Rio Grande Valley TX6$1,015$1,216$2,214$920–$2,650
Salt Lake City UT9$450$450$455$450–$559
San Antonio TX3———$1,123–$2,012
San Diego CA7$1,548$1,548$1,558$1,302–$1,679
San Francisco Bay Area CA5$1,250$2,094$3,859$1,250–$4,649
Seattle-Tacoma WA16$2,304$2,386$2,567$1,851–$2,871
South Carolina (statewide)31$1,754$2,547$3,514$947–$4,604
South Dakota (statewide)6$846$866$892$612–$3,643
St. Louis MO10$2,078$4,587$4,700$1,140–$5,505
Tampa FL6$2,140$2,140$2,140$1,405–$3,934
Tennessee (statewide)38$934$1,160$1,260$664–$2,171
Texas (statewide)82$1,004$1,610$2,012$435–$5,496
Utah (statewide)8$419$486$615$373–$641
Vermont (statewide)2———$686–$1,552
Virginia (statewide)24$1,738$2,944$3,408$691–$3,998
Washington (statewide)19$869$2,050$2,082$489–$3,880
Washington DC10$2,210$2,210$2,220$1,722–$2,644
West Virginia (statewide)11$1,111$1,193$2,307$781–$4,714
Wisconsin (statewide)46$1,925$2,912$3,321$381–$4,116

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Amberwell HiawathaKansas (statewide)$3280.5×12026-08-18
Nemaha Valley Community HospitalKansas (statewide)$3290.5×12026-09-16
Ochsner American Legion HospitalLouisiana (statewide)$3520.6×22026-04-01
Orange City Area Health SystemIowa (statewide)$3530.5×12026-09-23
Usa Health Children'S & Women'S HospitalAlabama (statewide)$3590.6×12026-04-30
Selby General HospitalOhio (statewide)$3610.5×12026-10-01
Franklin General HospitalIowa (statewide)$3700.5×42026-07-16
San Juan HospitalUtah (statewide)$3730.5×142026-04-13
Memorial HospitalNebraska (statewide)$3800.5×22026-07-15
Nationwide Children'S Hospital Toledo, LlcOhio (statewide)$3800.6×12026-04-01
Edgerton Hospital And Health ServicesWisconsin (statewide)$3810.6×12026-07-19
Tri Valley Health SystemNebraska (statewide)$3850.5×22026-07-15
Mercy Hospital SouthSt. Louis MO$4,9537.0×12026-06-10
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$5,0205.7×82026-01-01
Thomas Jefferson University HospitalPhiladelphia PA$5,0516.9×32026-09-15
Citizens Memorial HospitalMissouri (statewide)$5,1827.3×12026-03-25
Jefferson Stratford HospitalPhiladelphia PA$5,3126.7×22026-09-15
Stony Brook University HospitalNew York (statewide)$5,4176.1×52026-06-10
Parkview Regional Medical CenterIndiana (statewide)$5,4967.3×12026-09-01
Parkview HospitalTexas (statewide)$5,4967.7×12026-09-01
Barnes Jewish HospitalSt. Louis MO$5,5057.8×32025-12-15
Rady Children'S Hospital - San DiegoCalifornia (statewide)$5,5566.1×42026-04-01
UNC Health JohnstonResearch Triangle NC$5,7008.0×52026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$6,5857.2×32026-09-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

CPT 11603: Skin Lesion Removal

1271 hospitals in 81 markets. National Medicare rate $723, surgery center $174.

MarketHospitals25th pctMedian75th pctLow–high
Alabama (statewide)18$683$1,032$1,362$366–$2,328
Alaska (statewide)5$692$1,316$2,539$692–$4,779
Arizona (statewide)9$1,518$1,924$2,735$463–$3,945
Arkansas (statewide)10$651$998$1,228$568–$1,428
Atlanta GA6$2,759$3,320$3,320$2,572–$3,320
Austin TX13$699$1,310$2,441$682–$2,441
Boston MA14$985$1,290$1,468$579–$1,735
California (statewide)61$1,412$2,662$3,036$589–$6,585
Charlotte NC6$836$836$836$825–$1,003
Chicago IL10$1,099$1,788$2,712$706–$3,558
Cleveland OH11$1,666$1,860$2,142$1,340–$2,574
Colorado (statewide)19$796$1,961$2,758$484–$3,702
Connecticut (statewide)3———$958–$3,181
Dallas-Fort Worth TX10$1,901$2,012$2,084$1,403–$2,480
Denver CO15$1,660$2,368$2,806$1,083–$3,702
Detroit MI13$683$709$973$432–$2,080
Florida (statewide)62$1,950$2,206$2,458$454–$4,247
Georgia (statewide)28$1,114$2,349$2,572$450–$3,590
Hawaii (statewide)5$876$917$1,462$495–$2,540
Houston TX19$1,352$2,128$2,363$1,057–$2,956
Idaho (statewide)19$642$1,298$1,787$356–$2,574
Illinois (statewide)32$1,136$1,548$2,118$463–$3,811
Indiana (statewide)32$1,090$1,284$2,465$467–$5,496
Indianapolis IN1———$2,328–$2,328
Iowa (statewide)39$448$820$1,248$343–$3,047
Kansas (statewide)44$744$784$1,138$355–$4,473
Kentucky (statewide)16$942$1,476$1,884$756–$2,892
Las Vegas NV1———$1,588–$1,588
Los Angeles CA16$2,034$2,303$2,391$1,287–$3,895
Louisiana (statewide)19$625$682$950$332–$1,891
Maine (statewide)16$2,883$3,272$3,347$700–$4,208
Maryland (statewide)1———$2,238–$2,238
Massachusetts (statewide)9$942$1,269$1,494$824–$2,114
Miami-Fort Lauderdale FL5$810$1,072$2,121$762–$3,127
Michigan (statewide)27$590$776$830$396–$1,716
Minneapolis-St. Paul MN7$1,614$1,818$1,860$931–$2,025
Minnesota (statewide)16$900$1,769$1,980$399–$2,601
Mississippi (statewide)18$755$1,118$1,393$524–$2,091
Missouri (statewide)18$1,561$1,773$2,882$431–$5,209
Montana (statewide)8$1,270$1,540$2,049$441–$3,109
Nashville TN8$1,144$1,578$1,736$943–$1,736
Nebraska (statewide)24$518$1,232$2,236$378–$3,653
Nevada (statewide)1———$1,846–$1,846
New Hampshire (statewide)6$2,477$2,810$3,094$2,259–$3,742
New Jersey (statewide)25$1,192$2,127$2,780$816–$4,025
New Mexico (statewide)8$842$1,166$2,996$664–$4,774
New York (statewide)36$755$1,224$1,800$577–$5,171
New York City7$750$755$2,384$742–$4,100
North Carolina (statewide)5$1,754$1,878$2,344$905–$2,619
North Dakota (statewide)6$754$1,425$1,779$545–$2,164
Ohio (statewide)42$1,118$1,860$2,444$364–$3,958
Oklahoma (statewide)16$1,253$1,404$1,604$415–$3,203
Oregon (statewide)14$879$1,696$2,366$610–$3,249
Pennsylvania (statewide)42$1,287$1,814$2,361$577–$3,749
Philadelphia PA10$2,196$2,288$2,566$1,116–$5,312
Phoenix AZ8$2,000$2,016$2,056$2,000–$2,130
Pittsburgh PA9$1,139$1,199$1,300$886–$1,964
Portland OR9$2,938$3,220$3,220$2,938–$3,395
Research Triangle NC2———$1,306–$3,213
Rhode Island (statewide)5$1,034$1,646$2,029$950–$2,651
Richmond VA3———$2,772–$3,138
Rio Grande Valley TX5$1,088$1,343$2,505$920–$2,650
Salt Lake City UT9$598$598$598$592–$605
San Antonio TX3———$1,123–$2,016
San Diego CA6$1,594$1,594$1,594$1,568–$1,679
San Francisco Bay Area CA5$1,250$2,094$3,859$1,250–$4,649
Seattle-Tacoma WA16$2,304$2,386$2,567$1,851–$2,871
South Carolina (statewide)26$618$1,894$3,207$420–$4,604
South Dakota (statewide)6$846$866$892$668–$3,643
St. Louis MO4———$1,140–$1,241
Tampa FL6$2,140$2,140$2,140$1,405–$3,934
Tennessee (statewide)34$672$1,156$1,211$533–$2,171
Texas (statewide)73$1,057$1,901$2,016$435–$5,496
Utah (statewide)8$529$575$609$390–$641
Vermont (statewide)1———$382–$382
Virginia (statewide)22$1,814$2,944$3,408$631–$3,998
Washington (statewide)14$2,008$2,065$2,186$717–$3,880
Washington DC9$2,210$2,210$2,224$1,682–$2,644
West Virginia (statewide)10$1,075$1,230$2,310$781–$4,714
Wisconsin (statewide)45$1,898$2,912$3,326$479–$4,116
Wyoming (statewide)2———$426–$426

Lowest and highest 12 hospital medians

HospitalMarketMedian across insurers× MedicareInsurersFile date
Richland Parish Hospital-DelhiLouisiana (statewide)$3320.5×22026-09-11
Virginia Gay HospitalIowa (statewide)$3430.5×12026-08-13
Hawarden Regional HealthcareIowa (statewide)$3470.5×12026-04-24
Ochsner American Legion HospitalLouisiana (statewide)$3520.6×32026-04-01
Nemaha Valley Community HospitalKansas (statewide)$3550.6×22026-09-16
Clearwater Valley Hospital & ClinicsIdaho (statewide)$3560.5×12026-07-17
Hocking Valley Community HospitalOhio (statewide)$3640.5×22026-07-31
Usa Health Children'S & Women'S HospitalAlabama (statewide)$3660.6×22026-04-30
Amberwell Atchison AssociationKansas (statewide)$3660.6×12026-08-18
Franklin General HospitalIowa (statewide)$3700.5×42026-07-16
Genoa Community HospitalNebraska (statewide)$3780.5×32026-09-27
Cherry County HospitalNebraska (statewide)$3800.5×22026-05-26
Adventhealth Central TexasTexas (statewide)$4,8276.8×12026-04-01
Adventhealth Rollins BrookTexas (statewide)$4,8276.8×12026-04-01
Thomas Jefferson University HospitalPhiladelphia PA$5,0516.9×32026-09-15
Stony Brook University HospitalNew York (statewide)$5,1715.8×52026-06-10
Citizens Memorial HospitalMissouri (statewide)$5,1827.3×12026-03-25
Mercy Hospital JoplinMissouri (statewide)$5,2097.3×12026-06-09
Chapman Global Medical CenterCalifornia (statewide)$5,2885.8×202026-05-06
Jefferson Stratford HospitalPhiladelphia PA$5,3126.7×22026-09-15
Parkview Regional Medical CenterIndiana (statewide)$5,4967.3×12026-09-01
Parkview HospitalTexas (statewide)$5,4967.7×12026-09-01
Rady Children'S Hospital - San DiegoCalifornia (statewide)$5,5566.1×42026-04-01
Los Robles Hospital & Medical CenterCalifornia (statewide)$6,5857.2×32026-09-01

Every hospital is on its state's page (linked in the market table) and in the interactive explorer.

Questions

How much do commercial insurers pay hospitals for skin lesion removal?

Across 1429 hospitals in 81 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 11403, hospital outpatient is $1,668, 2.3× the same hospital's local Medicare base rate. The middle half of hospitals runs $989 to $2,458. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for skin lesion removal?

Medicare's national hospital outpatient rate for CPT 11403 is $723 and its surgery-center rate is $132, before local wage adjustment.

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

Lowest medians: Amberwell Hiawatha ($328), Nemaha Valley Community Hospital ($329), Ochsner American Legion Hospital ($352). Highest: Los Robles Hospital & Medical Center ($6,585), UNC Health Johnston ($5,700), Rady Children'S Hospital - San Diego ($5,556). Coverage: every hospital whose price file we could read.