Punch skin biopsy cost in Chicago, IL
In Chicago-Naperville-Elgin, IL-IN, 52 hospitals list a cash price for skin biopsy, punch, one lesion: from $74.20 to $4,590.83, with a median of $317.50. The lowest listed price is at John H. Stroger, Jr. Hospital — $243.30 less than the median here. Across Illinois, the median is $372.00 at 89 hospitals.
- The median here, $317.50, is 19% below the US median of $393.50.
- That is 0.8× Medicare's 2026 national rate for the same service ($415.32).
- 9 of 52 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 52 facilities across 38 cities for code 11104, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 10, 2026; the hospital files themselves were last updated between Jan 1, 2025 and Nov 6, 2026.
Lowest$74.20John H. Stroger, Jr. Hospital
Median$317.50half of hospitals charge less
Highest$4,590.83in this market
Difference61.9×highest vs lowest
Where each hospital's price falls
Each dot is one hospital's cash price on a scale from the lowest to the highest in Chicago-Naperville-Elgin, IL-IN.
median
Lowest $74.20Highest $4,590.83
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| John H. Stroger, Jr. Hospital lowest Chicago, IL · (312) 864-6000 PF-PUNCH SKIN BIOPSY 1ST File of Apr 1, 2026 · source file | $74.20 | $106.00 | $60.09–$148.55 | 30% |
| The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Hc Punch Biopsy Cash-Csm,Pbb File of Apr 1, 2026 · source file | $75.00 | $75.00 | — | — |
| Humboldt Park Health Chicago, IL · (773) 292-8200 Punch biopsy, first skin growth File of Sep 29, 2026 · source file | $101.43 | $362.25 | $119.54–$380.36 | 72% |
| Morris Hospital Morris, IL · (815) 942-2932 Punch biopsy, first skin growth File of Oct 27, 2026 · source file | $113.56 | $472.00 | $62.00–$486.16 | 76% |
| Morris Hospital Morris, IL · (815) 942-2932 Punch biopsy, first skin growth File of Oct 27, 2026 · source file | $119.34 | $496.00 | $193.44–$510.88 | 76% |
| Gottlieb Memorial Hospital Melrose Park, IL · (708) 681-3200 Bx Skin Punch Sgl Lesn+1 more line at this price File of Mar 31, 2026 · source file | $129.39 | $681.00 | $164.80–$2,252.00 | 81% |
| MacNeal Hospital Berwyn, IL · (708) 783-9100 Punch Biopsy Skin Single Lesion+1 more line at this price File of Mar 31, 2026 · source file | $129.39 | $681.00 | $71.63–$831.00 | 81% |
| Loretto Hospital Chicago, IL · (773) 626-4300 PUNCH BX SKIN SINGLE LESION PF File of Nov 5, 2026 · source file | $154.50 | $257.50 | $154.50–$257.50 | 40% |
| Loyola University Medical Center Maywood, IL · (708) 216-9000 Bx Skin Punch Sgl Lesn+1 more line at this price File of Mar 31, 2026 · source file | $156.63 | $681.00 | $218.60–$717.77 | 77% |
| Franciscan Health Munster Munster, IN · (219) 922-4200 Punch Bx Skin Single Lesion Hcode File of Jan 1, 2026 · source file | $158.90 | $746.00 | $373.00–$1,454.64 | 79% |
| Uchicago Medicine AdventHealth La Grange La Grange, IL · (708) 352-1200 HC PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file | $175.00 | $700.00 | — | 75% |
| Uchicago Medicine AdventHealth Bolingbrook Bolingbrook, IL · (630) 312-5000 HC PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file | $175.00 | $700.00 | — | 75% |
| Uchicago Medicine AdventHealth Hinsdale Hinsdale, IL · (630) 856-9000 HC PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file | $175.00 | $700.00 | — | 75% |
| Uchicago Medicine AdventHealth Glenoaks Glendale Heights, IL · (630) 545-8000 HC PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file | $175.00 | $700.00 | — | 75% |
| Presence Saint Joseph Hospital - Chicago Chicago, IL · (773) 665-3000 HC PUNCH BX SKIN SINGLE LESION File of Jan 1, 2026 · source file | $182.82 | $554.00 | $260.38 | 67% |
| Northwestern Medicine Kishwaukee Hospital DeKalb, IL · (815) 756-1521 HB Punch Bx Skin Single Lesion File of Apr 1, 2026 · source file | $191.80 | $274.00 | $50.14–$274.00 | 30% |
| Franciscan Health Dyer Dyer, IN · (219) 865-2141 Punch Bx Skin Single Lesion Hcode File of Jan 1, 2026 · source file | $201.42 | $746.00 | $373.00–$1,369.73 | 73% |
| NorthShore University HealthSystems Skokie Hospital Skokie, IL Punch Biopsy Skin Single Lesion File of Jan 1, 2025 · source file | $236.60 | $364.00 | $49.14–$198.74 | 35% |
| NorthShore University HealthSystems Glenbrook Hospital Glenview, IL Punch Biopsy Skin Single Lesion File of Jan 1, 2025 · source file | $236.60 | $364.00 | $49.14–$198.74 | 35% |
| Franciscan Health Rensselaer Rensselaer, IN · (219) 866-5141 Punch Bx Skin Single Lesion Hcode File of Jan 1, 2026 · source file | $246.27 | $687.90 | $648.18–$1,040.03 | 64% |
| Ann & Robert H. Lurie Children's Hospital of Chicago Chicago, IL · (312) 227-4000 H PUNCH BIOPSY SKIN SINGLE LESION File of Sep 1, 2026 · source file | $255.50 | $365.00 | $62.05–$346.75 | 30% |
| Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 GYNE PUNCH BIOPSY SKIN SINGLE LESION BCE File of Mar 17, 2025 · source file | $299.88 | $882.00 | $146.68–$818.00 | 66% |
| Louis A Weiss Memorial Hospital Chicago, IL · (773) 878-8700 WC Punch Biopsy Skn, One Lsn BCE+2 more lines at this price File of Mar 17, 2025 · source file | $299.97 | $882.25 | $146.72–$818.00 | 66% |
| Resilience Healthcare West Suburban Medical Center Oak Park, IL · (708) 383-6200 Biopsy Skin Single Lesion+2 more lines at this price File of Mar 17, 2025 · source file | $299.97 | $882.25 | $130.48–$818.00 | 66% |
| Advocate Trinity Hospital Chicago, IL · (773) 967-5002 BX SKIN PUNCH SINGLE LESION File of Nov 3, 2026 · source file | $317.50 | $635.00 | $250.19–$22,920.00 | 50% |
| Advocate Illinois Masonic Medical Center Chicago, IL · (773) 975-1600 BX SKIN PUNCH SINGLE LESION File of Nov 3, 2026 · source file | $317.50 | $635.00 | $250.19–$4,270.00 | 50% |
| Advocate Christ Medical Center Oak Lawn, IL · (708) 684-8000 BX SKIN PUNCH SINGLE LESION File of Nov 3, 2026 · source file | $317.50 | $635.00 | $250.19–$4,270.00 | 50% |
| Advocate Good Shepherd Hospital Barrington, IL · (847) 381-9600 BX SKIN PUNCH SINGLE LESION File of Nov 3, 2026 · source file | $317.50 | $635.00 | $250.19–$4,270.00 | 50% |
| Advocate South Suburban Hospital Hazel Crest, IL BX SKIN PUNCH SINGLE LESION File of Nov 3, 2026 · source file | $317.50 | $635.00 | $250.19–$4,270.00 | 50% |
| Advocate Lutheran General Hospital Park Ridge, IL · (847) 723-2210 BX SKIN PUNCH SINGLE LESION File of Nov 3, 2026 · source file | $317.50 | $635.00 | $250.19–$4,270.00 | 50% |
| Advocate Childrens Hospital Oak Lawn Oak Lawn, IL BX SKIN PUNCH SINGLE LESION File of Nov 3, 2026 · source file | $317.50 | $635.00 | $250.19–$4,270.00 | 50% |
| Advocate Sherman Hospital Elgin, IL · (847) 742-9800 BX SKIN PUNCH SINGLE LESION File of Nov 3, 2026 · source file | $317.50 | $635.00 | $235.59–$3,270.00 | 50% |
| Advocate Good Samaritan Hospital Downers Grove, IL · (630) 275-5900 BX SKIN PUNCH SINGLE LESION File of Nov 3, 2026 · source file | $317.50 | $635.00 | $250.19–$4,270.00 | 50% |
| Advocate Childrens Hospital Park Ridge Park Ridge, IL BX SKIN PUNCH SINGLE LESION File of Nov 6, 2026 · source file | $317.50 | $635.00 | $250.19–$4,270.00 | 50% |
| Advocate Condell Medical Center Libertyville, IL · (847) 362-2900 BX SKIN PUNCH SINGLE LESION File of Nov 3, 2026 · source file | $317.50 | $635.00 | $250.19–$3,270.00 | 50% |
| Community First Medical Center Chicago, IL · (773) 282-7000 Punch biopsy, first skin growth File of Apr 1, 2026 · source file | $369.75 | $739.50 | $201.88–$739.50 | 50% |
| Endeavor Health Highland Park Hospital Highland Park, IL PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file | $399.00 | $399.00 | — | — |
| Northshore University Healthsystem - Evanston Hospital Evanston, IL · (847) 570-2000 PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file | $399.00 | $399.00 | — | — |
| Swedish Covenant Health Chicago, IL · (773) 878-8200 PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file | $399.00 | $399.00 | — | — |
| Saint Francis Hospital Evanston, IL · (847) 316-4000 HC PUNCH BIOPSY SKIN SINGLE LESION File of Sep 1, 2026 · source file | $433.00 | $994.00 | $42.20–$994.00 | 56% |
| Saint Joseph Medical Center - Joliet Joliet, IL · (815) 725-7133 PUNCH BX SKIN SINGLE LESION File of Sep 1, 2026 · source file | $433.00 | $568.00 | $40.80–$568.00 | 24% |
| Palos Community Hospital Palos Heights, IL · (708) 923-4000 HB Punch Bx Skin Single Lesion File of Apr 1, 2026 · source file | $438.20 | $626.00 | $100.16–$626.00 | 30% |
| Northwestern Medicine Delnor Hospital Geneva, IL · (630) 208-3000 HB Punch Bx Skin Single Lesion File of Apr 1, 2026 · source file | $470.40 | $672.00 | $100.13–$672.00 | 30% |
| Northwestern Medicine Central DuPage Hospital Winfield, IL · (630) 682-1600 HB Punch Bx Skin Single Lesion File of Apr 1, 2026 · source file | $470.40 | $672.00 | $46.37–$672.00 | 30% |
| NorthShore University HealthSystems Skokie Hospital Skokie, IL Punch Biopsy of Skin Single Lesion File of Jan 1, 2025 · source file | $620.75 | $955.00 | $128.93–$521.43 | 35% |
| NorthShore University HealthSystems Glenbrook Hospital Glenview, IL Punch Biopsy of Skin Single Lesion File of Jan 1, 2025 · source file | $620.75 | $955.00 | $128.93–$521.43 | 35% |
| John H. Stroger, Jr. Hospital Chicago, IL · (312) 864-6000 PUNCH SKIN BIOPSY 1ST File of Apr 1, 2026 · source file | $727.30 | $1,039.00 | $23.26–$831.20 | 30% |
| Ingalls Memorial Hospital Harvey, IL · (708) 333-2300 Hc Punch Biopsy Of Skin; Single Lesion File of Apr 1, 2026 · source file | $963.00 | $963.00 | — | — |
| Endeavor Health Highland Park Hospital Highland Park, IL HB PUNCH BIOPSY OF SKIN, SINGLE LESION File of Apr 1, 2026 · source file | $996.00 | $996.00 | — | — |
| Northshore University Healthsystem - Evanston Hospital Evanston, IL · (847) 570-2000 HB PUNCH BIOPSY OF SKIN, SINGLE LESION File of Apr 1, 2026 · source file | $996.00 | $996.00 | — | — |
| Elmhurst Memorial Hospital Elmhurst, IL · (331) 221-1000 HC PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file | $996.00 | $996.00 | — | — |
| Northwest Community Hospital Arlington Heights, IL · (847) 618-1000 Hb Punch Bx Skin Single Lesion File of Apr 1, 2026 · source file | $996.00 | $996.00 | — | — |
| Edward Hospital Naperville, IL · (630) 527-3000 HC PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file | $996.00 | $996.00 | — | — |
| Swedish Covenant Health Chicago, IL · (773) 878-8200 HB PUNCH BIOPSY OF SKIN, SINGLE LESION File of Apr 1, 2026 · source file | $996.00 | $996.00 | — | — |
| The University of Chicago Medical Center Chicago, IL · (773) 702-9785 Hc Punch Biopsy Of Skin; Single Lesion+1 more line at this price File of Apr 1, 2026 · source file | $1,163.00 | $1,163.00 | — | — |
| Vista Medical Center East Waukegan, IL · (847) 360-3000 PUNCH BX SKN SGL LES File of Mar 31, 2025 · source file | $1,520.00 | $1,520.00 | $214.32–$619.01 | — |
| Northwestern Medicine McHenry Hospital McHenry, IL · (815) 344-5000 HB Punch Bx Skin Single Lesion File of Apr 1, 2026 · source file | $1,533.00 | $2,190.00 | $422.67–$2,190.00 | 30% |
| Northwestern Lake Forest Hospital Lake Forest, IL · (847) 234-5600 HB Punch Bx Skin Single Lesion File of Apr 1, 2026 · source file | $1,533.00 | $2,190.00 | $363.54–$2,190.00 | 30% |
| Northwestern Memorial Hospital Chicago, IL · (312) 926-2000 HB Punch Bx Skin Single Lesion File of Apr 1, 2026 · source file | $1,533.00 | $2,190.00 | $64.12–$2,190.00 | 30% |
| Franciscan Health Munster Munster, IN · (219) 922-4200 Punch Bx Skin Single Lesion Hcode File of Jan 1, 2026 · source file | $2,872.39 | $13,485.40 | $430.10–$1,454.64 | 79% |
| Franciscan Health Dyer Dyer, IN · (219) 865-2141 Punch Bx Skin Single Lesion Hcode File of Jan 1, 2026 · source file | $3,193.56 | $11,828.00 | $430.10–$1,369.73 | 73% |
| Northwest Health - Porter Valparaiso, IN · (219) 983-8300 PUNCH BX SKIN SINGLE LESION File of Apr 1, 2026 · source file | $3,243.23 | $12,011.97 | $35.95–$10,090.05 | 73% |
| Franciscan Health Crown Point Crown Point, IN · (219) 757-6100 Punch Biopsy Skin Single Lesion File of Jan 1, 2026 · source file | $4,590.83 | $17,793.93 | $17,793.93 | 74% |
Hospital The hospital that published the price, its city and the line exactly as written in its price file.
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Off list How much lower the cash price is than the list price.
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
Outpatient: lowest $74.20, median $317.50, highest $4,590.83 — a 61.9× difference within the same market.
As an inpatient, the same code is billed by 33 facilities here, median $317.50. 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 37 of 40 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 8 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 punch skin biopsy is, what the price covers and why prices differ: Punch skin biopsy explained.