Punch skin biopsy cost in Detroit, MI
In Detroit-Warren-Dearborn, MI, 21 hospitals list a cash price for skin biopsy, punch, one lesion: from $44.80 to $1,185.75, with a median of $254.24. The lowest listed price is at McLaren Macomb and 3 other hospitals — $209.44 less than the median here. Across Michigan, the median is $254.24 at 54 hospitals.
Cash prices at 21 facilities across 16 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 31, 2025 and Sep 2, 2026.
Lowest$44.80McLaren Macomb + 3 more
Median$254.24half pay less
Highest$1,185.75in this market
Difference26.5×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 Detroit-Warren-Dearborn, MI.
median
Lowest $44.80Highest $1,332.77
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| McLaren Macomb lowest Mount Clemens, MI · (586) 493-8000 SP Punch BX single lesion 11104 | $44.80 | $89.50 | $29.82–$62.94 | 50% | Dec 31, 2025 source file |
| McLaren Macomb lowest Mount Clemens, MI · (586) 493-8000 Hospitalist SP 11104 Punch Biopsy of Skin; Single Lesion | $44.80 | $89.50 | $29.82–$62.94 | 50% | Dec 31, 2025 source file |
| McLaren Lapeer Region lowest Lapeer, MI · (810) 667-5500 Hospitalist SP 11104 Punch Biopsy of Skin; Single Lesion | $44.80 | $89.50 | $29.82–$62.94 | 50% | Dec 31, 2025 source file |
| McLaren Port Huron lowest Port Huron, MI · (810) 987-5000 Hospitalist SP 11104 Punch Biopsy of Skin; Single Lesion | $44.80 | $89.50 | $29.82–$62.94 | 50% | Dec 31, 2025 source file |
| McLaren Port Huron lowest Port Huron, MI · (810) 987-5000 SP Punch BX single lesion 11104 | $44.80 | $89.50 | $29.82–$62.94 | 50% | Dec 31, 2025 source file |
| McLaren Lapeer Region lowest Lapeer, MI · (810) 667-5500 SP Punch BX single lesion 11104 | $44.80 | $89.50 | $29.82–$62.94 | 50% | Dec 31, 2025 source file |
| McLaren Port Huron lowest Port Huron, MI · (810) 987-5000 BP Punch Biopsy of Skin Single Lesion 11104 | $44.80 | $89.50 | $29.82–$62.94 | 50% | Dec 31, 2025 source file |
| McLaren Oakland lowest Pontiac, MI · (248) 338-5000 Hospitalist SP 11104 Punch Biopsy of Skin; Single Lesion | $44.80 | $89.50 | $29.82–$62.94 | 50% | Dec 31, 2025 source file |
| McLaren Oakland lowest Pontiac, MI · (248) 338-5000 SP Punch BX single lesion 11104 | $44.80 | $89.50 | $29.82–$62.94 | 50% | Dec 31, 2025 source file |
| Henry Ford Macomb Hospital Clinton Twp, MI · (586) 263-2300 PR PUNCH BX SKIN SGL LESN | $55.01 | $162.00 | $24.28–$192.45 | 66% | Jun 28, 2026 source file |
| Henry Ford Health Hospital Detroit, MI · (313) 916-2600 PR PUNCH BX SKIN SGL LESN | $55.01 | $162.00 | $24.28–$187.13 | 66% | Jun 28, 2026 source file |
| Henry Ford Health West Bloomfield Hospital West Bloomfield, MI · (248) 325-1000 PR PUNCH BX SKIN SGL LESN | $55.01 | $162.00 | $24.28–$192.37 | 66% | Jun 28, 2026 source file |
| Henry Ford Wyandotte Hospital Wyandotte, MI PR PUNCH BX SKIN SGL LESN | $55.01 | $162.00 | $24.28–$192.07 | 66% | Jun 28, 2026 source file |
| Henry Ford Health Rochester, MI · (248) 652-5000 PF PUNCH BX SKIN SINGLE LESION | $166.38 | $354.00 | $257.39–$276.16 | 53% | — source file |
| McLaren Port Huron Port Huron, MI · (810) 987-5000 Punch Biopsy Skin; Singe Lesion | $201.85 | $403.70 | $186.75–$623.45 | 50% | Dec 31, 2025 source file |
| McLaren Port Huron Port Huron, MI · (810) 987-5000 Punch BX single lesion 11104 | $201.85 | $403.70 | $186.75–$623.45 | 50% | Dec 31, 2025 source file |
| Karmanos Cancer Center Detroit, MI · (800) 576-6266 11104 PN BX SKIN DG LS | $228.45 | $456.90 | $168.60–$397.62 | 50% | Dec 31, 2025 source file |
| Karmanos Cancer Center Detroit, MI · (800) 576-6266 PNC BX SKIN 1 LES | $228.45 | $456.90 | $168.60–$397.62 | 50% | Dec 31, 2025 source file |
| Karmanos Cancer Center Detroit, MI · (800) 576-6266 11104 PUNCH BX SKIN SG LS | $228.45 | $456.90 | $168.60–$397.62 | 50% | Dec 31, 2025 source file |
| Karmanos Cancer Center Detroit, MI · (800) 576-6266 11104 PN BX SKIN SNG LES | $228.45 | $456.90 | $168.60–$397.62 | 50% | Dec 31, 2025 source file |
| Karmanos Cancer Center Detroit, MI · (800) 576-6266 11104 PNC BX SKIN 1 LES | $228.45 | $456.90 | $168.60–$397.62 | 50% | Dec 31, 2025 source file |
| Henry Ford Health Rochester, MI · (248) 652-5000 PUNCH BX SKIN SINGLE LESION | $236.88 | $504.00 | $257.39–$276.16 | 53% | — source file |
| McLaren Oakland Pontiac, MI · (248) 338-5000 Punch Biopsy Skin; Singe Lesion | $237.05 | $474.10 | $218.54–$623.45 | 50% | Dec 31, 2025 source file |
| McLaren Oakland Pontiac, MI · (248) 338-5000 Punch BX single lesion 11104 | $237.05 | $474.10 | $218.54–$623.45 | 50% | Dec 31, 2025 source file |
| McLaren Oakland Pontiac, MI · (248) 338-5000 BP Punch Biopsy of Skin Single Lesion 11104 | $237.05 | $474.10 | $218.54–$623.45 | 50% | Dec 31, 2025 source file |
| Henry Ford Health Southfield, MI · (248) 849-3000 SKIN/TISS/MEMB BX SNGL | $254.24 | $454.00 | $127.14–$324.16 | 44% | — source file |
| Henry Ford Health Southfield, MI · (248) 849-3000 PUNCH BX SKIN SINGLE LES*11104 | $254.24 | $454.00 | $127.14–$324.16 | 44% | — source file |
| Henry Ford Health Novi, MI SKIN/TISS/MEMB BX SNGL | $254.24 | $454.00 | $124.81–$324.16 | 44% | — source file |
| Henry Ford Health Novi, MI PUNCH BX SKIN SINGLE LES*11104 | $254.24 | $454.00 | $124.81–$324.16 | 44% | — source file |
| McLaren Lapeer Region Lapeer, MI · (810) 667-5500 Punch BX single lesion 11104 | $294.30 | $588.60 | $215.02–$623.45 | 50% | Dec 31, 2025 source file |
| McLaren Lapeer Region Lapeer, MI · (810) 667-5500 Punch Biopsy Skin; Singe Lesion | $294.30 | $588.60 | $215.02–$623.45 | 50% | Dec 31, 2025 source file |
| McLaren Lapeer Region Lapeer, MI · (810) 667-5500 BP Punch Biopsy of Skin Single Lesion 11104 | $294.30 | $588.60 | $215.02–$623.45 | 50% | Dec 31, 2025 source file |
| McLaren Macomb Mount Clemens, MI · (586) 493-8000 Punch Biopsy Skin; Single Lesion | $294.50 | $589.00 | $193.16–$623.45 | 50% | Dec 31, 2025 source file |
| McLaren Macomb Mount Clemens, MI · (586) 493-8000 Punch Biopsy Skin Single Lesion | $294.50 | $589.00 | $180.00–$623.45 | 50% | Dec 31, 2025 source file |
| McLaren Macomb Mount Clemens, MI · (586) 493-8000 Punch Biopsy Skin; Singe Lesion | $294.50 | $589.00 | $193.16–$623.45 | 50% | Dec 31, 2025 source file |
| McLaren Macomb Mount Clemens, MI · (586) 493-8000 BP Punch Biopsy of Skin Single Lesion 11104 | $294.50 | $589.00 | $193.16–$623.45 | 50% | Dec 31, 2025 source file |
| McLaren Macomb Mount Clemens, MI · (586) 493-8000 Punch BX single lesion 11104 | $294.50 | $589.00 | $169.04–$623.45 | 50% | Dec 31, 2025 source file |
| McLaren Lapeer Region Lapeer, MI · (810) 667-5500 Punch Biopsy Skin Single Lesion | $359.20 | $718.40 | $215.02–$623.45 | 50% | Dec 31, 2025 source file |
| Harper University Hospital Detroit, MI · (313) 745-6211 PUNCH BX SKIN SINGLE LESION | $528.75 | $705.00 | $0.22–$634.50 | 25% | Aug 20, 2026 source file |
| Harper University Hospital Detroit, MI · (313) 745-6211 PUNCH BX SKIN SINGLE LESION | $528.75 | $705.00 | $0.22–$634.50 | 25% | Sep 2, 2026 source file |
| Henry Ford Health Hospital Detroit, MI · (313) 916-2600 HB PUNCH BIOPSY SKIN SINGLE LESION | $558.97 | $260.00 | $135.20–$185.12 | -115% | Jun 28, 2026 source file |
| Henry Ford Wyandotte Hospital Wyandotte, MI HB PUNCH BIOPSY SKIN SINGLE LESION | $558.97 | $248.00 | $27.11–$745.29 | -125% | Jun 28, 2026 source file |
| Henry Ford Macomb Hospital Clinton Twp, MI · (586) 263-2300 HB PUNCH BIOPSY SKIN SINGLE LESION | $558.97 | $248.00 | $43.68–$2,056.00 | -125% | Jun 28, 2026 source file |
| Henry Ford Health West Bloomfield Hospital West Bloomfield, MI · (248) 325-1000 HB PUNCH BIOPSY SKIN SINGLE LESION | $558.97 | $260.00 | $43.68–$2,056.00 | -115% | Jun 28, 2026 source file |
| Beaumont Hospital - Taylor Taylor, MI · (313) 295-5000 Hc Punch Biopsy Skin Single Lesion | $736.00 | $736.00 | — | — | — source file |
| Corewell Health Wayne Hospital Wayne, MI · (734) 467-4175 Hc Punch Biopsy Skin Single Lesion | $736.00 | $736.00 | — | — | — source file |
| William Beaumont Hospital Grosse Pointe, MI · (313) 473-1000 Hc Punch Biopsy Skin Single Lesion | $736.00 | $736.00 | — | — | — source file |
| Corewell Health Trenton Hospital Trenton, MI · (734) 671-3800 Hc Punch Biopsy Skin Single Lesion | $736.00 | $736.00 | — | — | — source file |
| William Beaumont Hospital Troy, MI · (248) 964-8800 Hc Punch Biopsy Skin Single Lesion | $736.00 | $736.00 | — | — | — source file |
| Corewell Health Wayne Hospital Wayne, MI · (734) 467-4175 Hc Biopsy Of Floor Of Mouth | $764.00 | $764.00 | — | — | — source file |
| William Beaumont Hospital Troy, MI · (248) 964-8800 Hc Biopsy Of Floor Of Mouth | $764.00 | $764.00 | — | — | — source file |
| Beaumont Hospital - Taylor Taylor, MI · (313) 295-5000 Hc Biopsy Of Floor Of Mouth | $764.00 | $764.00 | — | — | — source file |
| Corewell Health Trenton Hospital Trenton, MI · (734) 671-3800 Hc Biopsy Of Floor Of Mouth | $764.00 | $764.00 | — | — | — source file |
| William Beaumont Hospital Grosse Pointe, MI · (313) 473-1000 Hc Biopsy Of Floor Of Mouth | $764.00 | $764.00 | — | — | — source file |
| VHS Sinai Grace Hospital Detroit, MI · (313) 966-3300 PUNCH BX SKIN SINGLE LESION | $1,020.75 | $1,361.00 | — | 25% | Apr 8, 2026 source file |
| VHS Childrens Hospital of Michigan Detroit, MI · (313) 745-5437 PUNCH BX SKIN SINGLE LESION | $1,080.00 | $1,440.00 | — | 25% | Apr 6, 2026 source file |
| VHS Detroit Receiving Hospital Detroit, MI · (313) 745-2941 PUNCH BX SKIN SINGLE LESION | $1,185.75 | $1,581.00 | — | 25% | Apr 7, 2026 source file |
| Karmanos Cancer Center Detroit, MI · (800) 576-6266 PUNCH BX SKIN SINGLE LESION | $1,332.77 | $2,665.54 | $193.17–$1,999.16 | 50% | Dec 31, 2025 source file |
Outpatient: lowest $44.80, median $254.24, highest $1,185.75 — a 26.5× difference within the same market.
As an inpatient, the same code is billed by 8 facilities here, median $736.00. 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 13 of 13 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.