Surgery and procedures CPT 11104 Outpatient

Punch skin biopsy cost in Los Angeles, CA

In Los Angeles-Long Beach-Anaheim, CA, 35 hospitals list a cash price for skin biopsy, punch, one lesion: from $64.40 to $1,552.32, with a median of $560.30. The lowest listed price is at UCI Health-Orange — $495.90 less than the median here. Across California, the median is $722.80 at 142 hospitals.

  • The median here, $560.30, is 42% above the US median of $393.50.
  • That is 1.3× Medicare's 2026 national rate for the same service ($415.32).
  • Los Angeles, CA ranks 2nd of 5 metro areas in California by median, cheapest first.
  • 4 of 35 hospitals list a cash price equal to their full list price, with no self-pay discount.

Cash prices at 35 facilities across 28 cities for code 11104, as an outpatient — the setting a self-pay patient normally buys. Collected Nov 4, 2026; the hospital files themselves were last updated between Nov 26, 2025 and Oct 5, 2026.

Lowest$64.40UCI Health-Orange
Median$560.30half of hospitals charge less
Highest$1,552.32in this market
Difference24.1×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 Los Angeles-Long Beach-Anaheim, CA.

median
Lowest $64.40Highest $1,552.32

Hospitals, cheapest first

HospitalCash priceList priceInsurers payOff list
UCI Health-Orange lowest Orange, CA · (714) 456-7890 HB PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file $64.40 $161.00 — 60%
Glendale Memorial Hospital & Health Center Glendale, CA · (818) 502-1900 BX SKIN PUNCH SNG LESION File of Sep 30, 2026 · source file $197.27 $627.00 $89.65–$6,668.00 69%
Catalina Island Medical Center Avalon, CA · (310) 510-0700 Punch biopsy, first skin growth File of Jul 20, 2026 · source file $251.30 $359.00 $96.93–$514.61 30%
Providence Cedars Sinai Tarzana Medical Center Tarzana, CA · (818) 881-0800 HC PUNCH BIOPSY SKIN SINGLE LESION+1 more line at this price File of Apr 1, 2026 · source file $332.15 $949.00 — 65%
California Hospital Medical Center LA Los Angeles, CA · (213) 748-2411 BX SKIN PUNCH SNG LESION File of Sep 30, 2026 · source file $363.91 $761.00 $67.55–$8,343.00 52%
Providence Holy Cross Medical Center Mission Hills, CA · (818) 365-8051 HC PUNCH BIOPSY SKIN SINGLE LESION+1 more line at this price File of Apr 1, 2026 · source file $406.00 $1,160.00 — 65%
St Mary Medical Center Long Beach, CA · (562) 491-9000 BX SKIN PUNCH SNG LESION File of Sep 30, 2026 · source file $412.71 $954.00 $67.55–$7,685.00 57%
Providence Little Company of Mary Medical Center Torrance Torrance, CA · (310) 540-7676 HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM+1 more line at this price File of Apr 1, 2026 · source file $460.95 $1,317.00 — 65%
Providence Little Co of Mary Medical Center San Pedro San Pedro, CA · (310) 832-3311 HC PUNCH BIOPSY SKIN SINGLE LESION+1 more line at this price File of Apr 1, 2026 · source file $460.95 $1,317.00 — 65%
Sherman Oaks Hospital Sherman Oaks, CA · (818) 981-7111 PUNCH BX SKIN SNGL LESION File of Sep 1, 2026 · source file $520.00 $1,765.00 $112.06–$1,765.00 71%
West Anaheim Medical Center Anaheim, CA · (714) 827-3000 Hc Punch Biopsy Skin Single Lesion File of Sep 1, 2026 · source file $520.00 $882.25 $112.06–$882.25 41%
La Palma Intercommunity Hospital La Palma, CA · (714) 670-7400 Hc Punch Biopsy Skin Single Lesion File of Sep 1, 2026 · source file $520.00 $882.25 $112.06–$882.25 41%
St Francis Medical Center Lynwood, CA · (310) 900-8900 Hc Punch Biopsy Skin Single Lesion File of Sep 1, 2026 · source file $520.00 $1,407.43 $112.06–$1,266.69 63%
Centinela Hospital Medical Center Inglewood, CA · (310) 673-4660 PUNCH BX SKIN SINGLE LESION File of Sep 1, 2026 · source file $520.00 $1,729.20 $112.06–$1,729.20 70%
Garden Grove Hospital Medical Center Garden Grove, CA · (714) 537-5160 Hc Punch Biopsy Skin Single Lesion File of Sep 1, 2026 · source file $520.00 $882.25 $112.06–$882.25 41%
USC Arcadia Hospital Arcadia, CA · (626) 898-8000 PUNCH BX SKIN SINGLE LESION File of Jul 27, 2026 · source file $520.80 $1,488.00 $373.48–$10,420.38 65%
Providence St Joseph Hospital Orange Orange, CA · (714) 633-9111 HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM+1 more line at this price File of Apr 1, 2026 · source file $523.68 $1,091.00 — 52%
Casa Colina Hospital and Centers for Healthcare Pomona, CA · (909) 596-7733 Punch biopsy, first skin growth File of Oct 5, 2026 · source file $560.30 $431.00 $160.74–$3,149.00 -30%
Saint John's Health Center Santa Monica, CA · (310) 829-5511 HC PUNCH BIOPSY SKIN SINGLE LESION+1 more line at this price File of Apr 1, 2026 · source file $576.45 $1,647.00 — 65%
St Jude Hospital Fullerton, CA · (714) 992-3000 HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM+1 more line at this price File of Apr 1, 2026 · source file $609.12 $1,269.00 — 52%
Kaiser Foundation Hospital - Los Angeles Los Angeles, CA · (323) 783-4011 PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file $722.80 $1,390.00 $396.00–$1,179.00 48%
Kaiser Foundation Hospital - Downey Downey, CA · (562) 461-6007 PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file $722.80 $1,390.00 $396.00–$1,179.00 48%
Kaiser Foundation Hospital - Baldwin Park Baldwin Park, CA · (626) 851-1011 PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file $722.80 $1,390.00 $396.00–$1,179.00 48%
Kaiser Foundation Hospital - Panorama City Panorama City, CA · (818) 375-2000 PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file $722.80 $1,390.00 $396.00–$1,179.00 48%
Kaiser Foundation Hospital - Orange County - Anaheim Anaheim, CA · (714) 279-4000 PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file $722.80 $1,390.00 $396.00–$1,179.00 48%
Kaiser Foundation Hospital - Woodland Hills Woodland Hills, CA · (818) 719-3800 PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file $722.80 $1,390.00 $396.00–$1,179.00 48%
Kaiser Foundation Hospital - West LA Los Angeles, CA · (213) 857-2201 PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file $722.80 $1,390.00 $396.00–$1,179.00 48%
Kaiser Fnd Hospital - Irvine Irvine, CA · (714) 279-4000 PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file $722.80 $1,390.00 $396.00–$1,179.00 48%
Kaiser Foundation Hospital - South Bay Harbor City, CA · (310) 325-5111 PUNCH BIOPSY SKIN SINGLE LESION File of Apr 1, 2026 · source file $722.80 $1,390.00 $396.00–$1,179.00 48%
Valley Presbyterian Hospital Van Nuys, CA · (818) 782-6600 PUNCH BX SKIN SINGLE LESION File of Jul 9, 2026 · source file $825.00 $825.00 $206.25–$3,351.80 —
Providence Saint Joseph Medical Center Burbank, CA · (818) 843-5111 HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM+1 more line at this price File of Apr 1, 2026 · source file $951.65 $2,719.00 — 65%
Keck Hospital of USC Los Angeles, CA · (323) 442-8656 Punch Bx Skin Single Lesion File of Apr 1, 2026 · source file $1,321.29 $1,321.29 — —
Cedars-Sinai Medical Center Los Angeles, CA · (310) 423-5000 Outpatient Grouper - 0+3 more lines at this price File of Nov 26, 2025 · source file $1,341.23 $2,063.43 $497.49–$18,056.43 35%
USC Kenneth Norris Jr Cancer Hospital Los Angeles, CA Punch Bx Skin Single Lesion File of Apr 1, 2026 · source file $1,487.50 $1,487.50 — —
Mission Hospital Regional Med Center Mission Viejo, CA · (949) 364-1400 HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM+1 more line at this price File of Apr 1, 2026 · source file $1,552.32 $3,234.00 — 52%
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 $64.40, median $560.30, highest $1,552.32 — a 24.1× difference within the same market.

As an inpatient, the same code is billed by 27 facilities here, median $722.80. 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 23 of 23 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 punch skin biopsy is, what the price covers and why prices differ: Punch skin biopsy explained.