Punch skin biopsy cost in Charlotte, NC
In Charlotte-Concord-Gastonia, NC-SC, 13 hospitals list a cash price for skin biopsy, punch, one lesion: from $206.55 to $726.50, with a median of $206.55. The lowest listed price is at Carolinas Medical Center and 7 other hospitals. Across North Carolina, the median is $265.50 at 33 hospitals.
Cash prices at 13 facilities across 10 cities for code 11104, as an outpatient — the setting a self-pay patient normally buys. Collected Sep 23, 2026; the hospital files themselves were last updated between Dec 1, 2025 and May 11, 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 Charlotte-Concord-Gastonia, NC-SC.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC ER PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $75.38–$499.41 | 50% | Dec 5, 2025 source file |
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $79.11–$474.99 | 50% | Dec 4, 2025 source file |
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC ER PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $75.38–$474.99 | 50% | Dec 4, 2025 source file |
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC ER PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $75.38–$474.99 | 50% | Dec 4, 2025 source file |
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $74.23–$474.99 | 50% | Dec 4, 2025 source file |
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC ER PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $77.25–$413.10 | 50% | Dec 4, 2025 source file |
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $78.49–$413.10 | 50% | Dec 4, 2025 source file |
| Carolinas Medical Center lowest Charlotte, NC · (704) 355-2000 HC PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $90.10–$499.41 | 50% | Dec 5, 2025 source file |
| Carolinas Rehabilitation lowest Charlotte, NC HC PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $126.37–$420.75 | 50% | Dec 5, 2025 source file |
| Carolinas Rehabilitation lowest Charlotte, NC HC ER PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $126.37–$420.75 | 50% | Dec 5, 2025 source file |
| Carolinas Rehabilitation lowest Belmont, NC HC PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $126.37–$420.75 | 50% | Dec 5, 2025 source file |
| Carolinas Rehabilitation lowest Belmont, NC HC ER PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $126.37–$420.75 | 50% | Dec 5, 2025 source file |
| Atrium Health Anson lowest Wadesboro, NC · (704) 694-5131 HC ER PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $61.80–$400.17 | 50% | Dec 1, 2025 source file |
| Atrium Health Anson lowest Wadesboro, NC · (704) 694-5131 HC PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $61.80–$400.17 | 50% | Dec 1, 2025 source file |
| Atrium Health Lincoln lowest Lincolnton, NC · (980) 212-2000 HC ER PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $46.60–$468.52 | 50% | Dec 1, 2025 source file |
| Atrium Health Lincoln lowest Lincolnton, NC · (980) 212-2000 HC PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $46.60–$468.52 | 50% | Dec 1, 2025 source file |
| Atrium Health Union lowest Monroe, NC · (704) 283-3100 HC ER PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $53.70–$474.99 | 50% | Dec 4, 2025 source file |
| Atrium Health Union lowest Monroe, NC · (704) 283-3100 HC PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $53.70–$474.99 | 50% | Dec 4, 2025 source file |
| Atrium Health Pineville lowest Charlotte, NC · (704) 379-5000 HC ER PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $41.31–$474.99 | 50% | Dec 5, 2025 source file |
| Atrium Health Pineville lowest Charlotte, NC · (704) 379-5000 HC PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $41.31–$474.99 | 50% | Dec 5, 2025 source file |
| Atrium Health Pineville lowest Charlotte, NC · (704) 379-5000 HC ER PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $41.31–$474.99 | 50% | Dec 5, 2025 source file |
| Atrium Health Pineville lowest Charlotte, NC · (704) 379-5000 HC PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $41.31–$474.99 | 50% | Dec 5, 2025 source file |
| Carolinas Medical Center-Northeast lowest Concord, NC · (704) 783-3000 HC ER PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $50.69–$474.99 | 50% | Dec 1, 2025 source file |
| Carolinas Medical Center-Northeast lowest Concord, NC · (704) 783-3000 HC PUNCH BIOPSY SKIN SINGLE LESION | $206.55 | $413.10 | $50.69–$474.99 | 50% | Dec 1, 2025 source file |
| Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 Punch Bx Skin Single Lesion | $342.63 | $1,269.00 | $437.81 | 73% | — source file |
| Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 HC PUNCH BX SKIN SINGLE LESION | $342.63 | $1,269.00 | $111.42–$824.85 | 73% | — source file |
| Duke Health Lake Norman Hospital Mooresville, NC · (704) 660-4000 Punch Bx Skin Single Lesion | $342.63 | $1,269.00 | $437.81 | 73% | — source file |
| Gaston Memorial Hospital Gastonia, NC · (704) 834-4891 HCHG PUNCH BX SKIN SINGLE LESION | $526.00 | $526.00 | $79.16–$1,117.21 | — | May 11, 2026 source file |
| Gaston Memorial Hospital Mount Holly, NC HCHG PUNCH BX SKIN SINGLE LESION | $526.00 | $526.00 | $79.16–$1,117.21 | — | May 11, 2026 source file |
| Gaston Memorial Hospital Belmont, NC HCHG PUNCH BX SKIN SINGLE LESION | $526.00 | $526.00 | $79.16–$1,117.21 | — | May 11, 2026 source file |
| MUSC Lancaster Medical Center Lancaster, SC · (803) 286-1481 HB PUNCH BX SKIN; SINGLE LESION | $726.50 | $1,453.00 | — | 50% | Apr 1, 2026 source file |
Outpatient: lowest $206.55, median $206.55, highest $726.50 — a 3.5× difference within the same market.
As an inpatient, the same code is billed by 13 facilities here, median $206.55. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
Cash or insurance?
At 12 of 12 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.