Punch skin biopsy cost in Dallas, TX
In Dallas-Fort Worth-Arlington, TX, 51 hospitals list a cash price for skin biopsy, punch, one lesion: from $185.70 to $903.00, with a median of $458.25. The lowest listed price is at Methodist Richardson Medical Center and 7 other hospitals — $272.55 less than the median here. Across Texas, the median is $440.55 at 193 hospitals.
- The median here, $458.25, is 16% above the US median of $393.50.
- That is 1.1× Medicare's 2026 national rate for the same service ($415.32).
- Dallas, TX has the lowest median of 2 metro areas in Texas with at least 10 hospitals pricing this code.
- 3 of 51 hospitals list a cash price equal to their full list price, with no self-pay discount.
Cash prices at 51 facilities across 26 cities for code 11104, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 11, 2026; the hospital files themselves were last updated between Jan 1, 2026 and Oct 30, 2026.
Lowest$185.70Methodist Richardson Medical Center + 7 more
Median$458.25half of hospitals charge less
Highest$903.00in this market
Difference4.9×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 Dallas-Fort Worth-Arlington, TX.
median
Lowest $185.70Highest $2,787.46
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list |
|---|---|---|---|---|
| Methodist Richardson Medical Center lowest Richardson, TX · (469) 204-1000 HC Bx Skin Punch Single Lesion File of Mar 21, 2026 · source file | $185.70 | $619.00 | $309.50–$619.00 | 70% |
| Methodist Midlothian Medical Center lowest Midlothian, TX · (469) 846-2000 HC Bx Skin Punch Single Lesion File of Mar 21, 2026 · source file | $185.70 | $619.00 | $309.50–$619.00 | 70% |
| Methodist Richardson Campus for Continuing Care lowest Richardson, TX · (469) 204-1000 HC Bx Skin Punch Single Lesion File of Mar 21, 2026 · source file | $185.70 | $619.00 | $309.50–$619.00 | 70% |
| Methodist Celina Medical Center lowest Celina, TX · (214) 947-6452 HC Bx Skin Punch Single Lesion File of Mar 23, 2026 · source file | $185.70 | $619.00 | $309.50–$619.00 | 70% |
| Methodist Dallas Medical Center lowest Dallas, TX · (214) 947-8181 HC Bx Skin Punch Single Lesion File of Mar 20, 2026 · source file | $185.70 | $619.00 | $309.50–$619.00 | 70% |
| Methodist Mansfield Medical Center lowest Mansfield, TX · (682) 622-2059 HC Bx Skin Punch Single Lesion File of Mar 21, 2026 · source file | $185.70 | $619.00 | $309.50–$619.00 | 70% |
| Methodist Hospitals of Dallas – Coppell lowest Coppell, TX · (878) 654-4400 HC Bx Skin Punch Single Lesion File of Mar 23, 2026 · source file | $185.70 | $619.00 | $309.50–$619.00 | 70% |
| Methodist Southlake Medical Center lowest Souhtlake, TX · (878) 654-4400 HC Bx Skin Punch Single Lesion File of Mar 23, 2026 · source file | $185.70 | $619.00 | $309.50–$619.00 | 70% |
| Jps Health Network Fort Worth, TX · (817) 921-3431 HC PUNCH BIOPSY OF SKIN SINGLE LESION INITIAL+1 more line at this price File of Apr 1, 2026 · source file | $290.40 | $484.00 | — | 40% |
| Methodist Charlton Medical Center Dallas, TX · (214) 947-7777 HC Bx Skin Punch Single Lesion File of Mar 21, 2026 · source file | $309.50 | $619.00 | $309.50–$619.00 | 50% |
| Cook Childrens Medical Center - Prosper Prosper, TX · (945) 204-4100 HC PUNCH BIOPSY OF SKIN - INITIAL File of Jan 1, 2026 · source file | $339.08 | $452.10 | $40.37–$119.19 | 25% |
| Cook Children's Medical Center Fort Worth, TX · (682) 885-4000 HC PUNCH BIOPSY OF SKIN - INITIAL File of Jan 1, 2026 · source file | $339.08 | $452.10 | $40.37–$119.19 | 25% |
| Methodist Hospital For Surgery Addison, TX · (469) 248-3900 HC Bx Skin Punch Single Lesion File of Mar 21, 2026 · source file | $371.40 | $619.00 | $309.50–$619.00 | 40% |
| Dallas Regional Medical Center Mesquite, TX · (214) 320-7000 Hc Punch Biopsy Skin Single Lesion File of Sep 1, 2026 · source file | $406.00 | $882.25 | $38.11–$882.25 | 54% |
| Dallas Medical Center Dallas, TX · (972) 247-1000 Hc Punch Biopsy Skin Single Lesion File of Sep 1, 2026 · source file | $406.00 | $364.67 | $23.63–$364.67 | -11% |
| The University of Texas Southwestern Medical Center at Dallas Dallas, TX · (214) 633-5555 HCHG BIOPSY PUNCH SKIN SINGLE LESION File of Mar 10, 2026 · source file | $407.50 | $815.00 | $79.46–$2,667.00 | 50% |
| Texas Health Presbyterian Hospital Dallas Dallas, TX · (214) 345-6789 11104 PUNCH BX SKIN SINGLE LESION+1 more line at this price File of Apr 15, 2026 · source file | $440.55 | $734.25 | $79.46–$690.93 | 40% |
| Texas Health Presbyterian Hospital Allen Allen, TX · (972) 747-1000 11104 PUNCH BX SKIN SINGLE LESION+1 more line at this price File of Apr 15, 2026 · source file | $440.55 | $734.25 | $79.46–$690.93 | 40% |
| Childrens Medical Center Plano Plano, TX · (214) 456-1792 Punch Biopsy Skin Single Lesion File of Aug 17, 2026 · source file | $445.50 | $594.00 | $83.43–$576.18 | 25% |
| Childrens Medical Center of Dallas Dallas, TX · (214) 456-7000 Punch Biopsy Skin Single Lesion File of Aug 17, 2026 · source file | $445.50 | $594.00 | $83.43–$576.18 | 25% |
| Texas Health Presbyterian Hospital Dallas Dallas, TX · (214) 345-6789 BX PUNCH SKIN SINGLE LES+1 more line at this price File of Apr 15, 2026 · source file | $458.25 | $763.75 | $79.46–$718.69 | 40% |
| Texas Health Harris Methodist Hospital Southwest Fort Worth Fort Worth, TX · (817) 433-5000 BX PUNCH SKIN SINGLE LES File of Apr 21, 2026 · source file | $458.25 | $763.75 | $79.46–$718.69 | 40% |
| Physicians Medical Center, LLC Plano, TX BX PUNCH SKIN SINGLE LES File of Apr 13, 2026 · source file | $458.25 | $763.75 | $79.46–$718.69 | 40% |
| Texas Health Center for Diagnostics & Surgery Plano Plano, TX BX PUNCH SKIN SINGLE LES File of Apr 21, 2026 · source file | $458.25 | $763.75 | $79.46–$718.69 | 40% |
| Texas Health Presbyterian Hospital Denton Denton, TX · (940) 898-7000 BX PUNCH SKIN SINGLE LES+1 more line at this price File of Apr 21, 2026 · source file | $458.25 | $763.75 | $79.46–$718.69 | 40% |
| Texas Health Harris Methodist Hospital Hurst-Euless-Bedford Bedford, TX · (817) 848-4000 BX PUNCH SKIN SINGLE LES+1 more line at this price File of Apr 21, 2026 · source file | $458.25 | $763.75 | $79.46–$718.69 | 40% |
| Texas Health Presbyterian Hospital Allen Allen, TX · (972) 747-1000 BX PUNCH SKIN SINGLE LES+1 more line at this price File of Apr 15, 2026 · source file | $458.25 | $763.75 | $79.46–$718.69 | 40% |
| Texas Health Arlington Memorial Hospital Arlington, TX · (817) 548-6200 BX PUNCH SKIN SINGLE LES+1 more line at this price File of Apr 13, 2026 · source file | $458.25 | $763.75 | $79.46–$718.69 | 40% |
| Texas Health Harris Methodist Hospital Cleburne Cleburne, TX · (817) 641-2251 BX PUNCH SKIN SINGLE LES+1 more line at this price File of Apr 21, 2026 · source file | $458.25 | $763.75 | $79.46–$718.69 | 40% |
| Texas Health Harris Methodist Hospital Fort Worth Fort Worth, TX · (817) 250-2100 BX PUNCH SKIN SINGLE LES+1 more line at this price File of Apr 21, 2026 · source file | $458.25 | $763.75 | $79.46–$718.69 | 40% |
| Texas Health Presbyterian Hospital Plano Plano, TX · (972) 981-8000 BX PUNCH SKIN SINGLE LES+1 more line at this price File of Apr 21, 2026 · source file | $458.25 | $763.75 | $79.46–$718.69 | 40% |
| White Rock Medical Center Dallas, TX · (214) 324-6100 OPWC Punch Biopsy Skn, One Lsn BCE+1 more line at this price File of Sep 15, 2026 · source file | $467.84 | $688.00 | $79.46–$10,000.00 | 32% |
| Baylor Scott & White Medical Center - Lake Pointe Rowlett, TX · (972) 412-2273 HC PUNCH BX SKIN SINGLE LESION+1 more line at this price File of Jun 29, 2026 · source file | $505.18 | $841.97 | $79.46–$987.79 | 40% |
| Baylor Scott & White Medical Center - Centennial Frisco, TX · (972) 963-3333 HC PUNCH BIOPSY OF SKIN+1 more line at this price File of Jun 29, 2026 · source file | $505.18 | $841.97 | $79.46–$987.79 | 40% |
| Baylor Scott & White Heart and Vascular Hospital - Waxahachie Waxahachie, TX · (214) 820-0600 HC PUNCH BX SKIN SINGLE LESION+1 more line at this price File of Jun 29, 2026 · source file | $505.18 | $841.97 | $294.69–$673.81 | 40% |
| Baylor Scott & White Heart and Vascular Hospital - Dallas Dallas, TX · (214) 820-0600 HC PUNCH BIOPSY OF SKIN+1 more line at this price File of Jun 29, 2026 · source file | $505.18 | $841.97 | $79.46–$987.79 | 40% |
| Baylor Scott & White The Heart Hospital - Plano Plano, TX · (469) 814-3278 HC PUNCH BIOPSY OF SKIN+1 more line at this price File of Jun 29, 2026 · source file | $505.18 | $841.97 | $79.46–$987.79 | 40% |
| Baylor Scott & White The Heart Hospital - Denton Denton, TX · (940) 220-0600 HC PUNCH BIOPSY OF SKIN+1 more line at this price File of Jun 29, 2026 · source file | $505.18 | $841.97 | $79.46–$987.79 | 40% |
| Baylor Scott & White Medical Center - Grapevine Grapevine, TX · (817) 481-1588 HC PUNCH BIOPSY OF SKIN+1 more line at this price File of Jun 29, 2026 · source file | $505.18 | $841.97 | $79.46–$987.79 | 40% |
| Baylor Scott & White Medical Center - Irving Irving, TX · (972) 579-8100 HC PUNCH BX SKIN SINGLE LESION+1 more line at this price File of Jun 29, 2026 · source file | $505.18 | $841.97 | $79.46–$987.79 | 40% |
| Baylor Scott & White All Saints Medical Center - Fort Worth Fort Worth, TX · (817) 926-2544 HC PUNCH BIOPSY OF SKIN+1 more line at this price File of Jun 29, 2026 · source file | $505.18 | $841.97 | $79.46–$987.79 | 40% |
| Baylor Scott & White Medical Center - Plano Plano, TX · (469) 814-2000 HC PUNCH BX SKIN SINGLE LESION+1 more line at this price File of Jun 29, 2026 · source file | $505.18 | $841.97 | $79.46–$987.79 | 40% |
| Baylor Scott & White The Heart Hospital - McKinney McKinney, TX · (469) 814-3278 HC PUNCH BX SKIN SINGLE LESION+1 more line at this price File of Jun 29, 2026 · source file | $505.18 | $841.97 | $85.02–$987.79 | 40% |
| Baylor Scott & White Medical Center at Waxahachie Waxahachie, TX · (972) 923-7000 HC PUNCH BIOPSY OF SKIN+1 more line at this price File of Oct 29, 2026 · source file | $525.39 | $875.65 | $79.46–$4,248.00 | 40% |
| Baylor Scott & White Medical Center - Frisco at PGA Parkway Frisco, TX · (945) 339-0500 HC PUNCH BIOPSY OF SKIN+1 more line at this price File of Oct 30, 2026 · source file | $525.39 | $875.65 | $79.46–$4,248.00 | 40% |
| Baylor Scott & White Medical Center - McKinney McKinney, TX · (469) 742-2200 HC PUNCH BX SKIN SINGLE LESION+1 more line at this price File of Oct 28, 2026 · source file | $525.39 | $875.65 | $79.46–$4,248.00 | 40% |
| Baylor University Medical Center Dallas, TX · (214) 820-8082 HC PUNCH BX SKIN SINGLE LESION+1 more line at this price File of Oct 29, 2026 · source file | $525.39 | $875.65 | $79.46–$4,248.00 | 40% |
| Baylor Surgical Hospital at Fort Worth Fort Worth, TX PUNCH BIOPSY OF SKIN SINGLE LESION 11104 File of Apr 14, 2026 · source file | $543.60 | $906.00 | $109.00–$8,427.00 | 40% |
| Baylor Medical Center at Trophy Club Trophy Club, TX · (817) 837-4600 PUNCH BIOPSY OF SKIN SINGLE LESION 11104 File of Apr 14, 2026 · source file | $592.80 | $988.00 | $109.00–$8,427.00 | 40% |
| Parkland Health Dallas, TX · (214) 590-8000 Punch biopsy first skin growth+1 more line at this price File of May 29, 2026 · source file | $682.00 | $1,705.00 | $83.43–$1,227.60 | 60% |
| Texas Health Hospital Mansfield Mansfield, TX · (682) 341-5000 HC PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file | $735.39 | $735.39 | — | — |
| Texas Health Huguley Hospital Fort Worth South Burleson, TX · (817) 293-9110 HC PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file | $735.39 | $735.39 | — | — |
| Baylor Scott and White Medical Center Sunnyvale Sunnyvale, TX · (972) 892-3000 PUNCH BIOPSY OF SKIN SINGLE LESION 11104 File of Apr 1, 2026 · source file | $903.00 | $1,505.00 | $363.28–$5,469.00 | 40% |
| Parkland Health Dallas, TX · (214) 590-8000 Punch biopsy first skin growth+1 more line at this price File of May 29, 2026 · source file | $1,390.82 | $3,477.04 | $4.16–$5,632.86 | 60% |
| Parkland Health one side Dallas, TX · (214) 590-8000 Punch biopsy first skin growth|LEFT SIDE+1 more line at this price File of May 29, 2026 · source file | $2,787.46 | $6,968.65 | $4.16–$5,632.86 | 60% |
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 $185.70, median $458.25, highest $903.00 — a 4.9× difference within the same market.
As an inpatient, the same code is billed by 49 facilities here, median $458.25. 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 45 of 48 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.