Punch skin biopsy cost in Bismarck, ND — inpatient
In Bismarck, ND, 2 hospitals list a cash price for skin biopsy, punch, one lesion as an inpatient: from $110.67 to $436.00, with a median of $273.34. The lowest listed price is at St. Alexius Medical Center — $162.67 less than the median here. Across North Dakota, the median is $113.29 at 8 hospitals.
Cash prices at 2 facilities for code 11104, as an inpatient (admitted to hospital) . Collected Sep 23, 2026; the hospital files themselves were last updated between Feb 28, 2026 and Mar 4, 2026.
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Bismarck, ND.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| St. Alexius Medical Center lowest Bismarck, ND · (701) 530-7000 HC PUNCH BIOPSY SKIN SINGMLE LESION | $110.67 | $217.00 | $160.58–$195.30 | 49% | Feb 28, 2026 source file |
| Sanford Medical Center Bismarck Bismarck, ND · (701) 323-6000 SURG 11104 PUNCH BIOPSY SKIN SINGLE LESION | $436.00 | $545.00 | $299.75–$490.50 | 20% | Mar 4, 2026 source file |
| Sanford Medical Center Bismarck Bismarck, ND · (701) 323-6000 ED 11104 PUNCH BX SKIN SINGLE LESION | $436.00 | $545.00 | $299.75–$490.50 | 20% | Mar 4, 2026 source file |
| Sanford Medical Center Bismarck Bismarck, ND · (701) 323-6000 TX RM 11104 PUNCH BX SKIN SINGLE LESION | $436.00 | $545.00 | $299.75–$490.50 | 20% | Mar 4, 2026 source file |
Inpatient: lowest $110.67, median $273.34, highest $436.00 — a 3.9× difference within the same market.
As an outpatient, the same code is billed by 2 facilities here, median $273.34 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 2 of 2 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 1 it is below every plan's rate. If you have insurance but have not met your deductible, you usually pay your plan's negotiated rate, which falls somewhere in the "Insurers pay" column. Paying cash can cost less, but a cash payment usually does not count toward your deductible. Ask the hospital for both numbers before you book.
What it is
A punch biopsy removes a small round core of skin with a tool like a tiny cookie cutter, for a lab to examine. It is used for rashes and suspicious spots.
What the price covers
The price usually covers the procedure and numbing medicine. The visit may be billed separately.