Punch skin biopsy cost in St. Louis, MO
In St. Louis, MO-IL, 10 hospitals list a cash price for skin biopsy, punch, one lesion: from $37.05 to $911.81, with a median of $187.73. The lowest listed price is at Mercy Hospital St Louis and 2 other hospitals — $150.68 less than the median here. Across Missouri, the median is $202.80 at 30 hospitals.
Cash prices at 10 facilities across 8 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 Jun 12, 2026 and Jun 12, 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 St. Louis, MO-IL.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Mercy Hospital St Louis lowest Saint Louis, MO Punch Bx Skin Single Lesion Pf | $37.05 | $57.00 | $37.17–$1,199.00 | 35% | — source file |
| Mercy Hospital Lincoln lowest Troy, MO · (636) 528-8551 Punch Bx Skin Single Lesion Pf | $37.05 | $57.00 | $3.71–$57.00 | 35% | — source file |
| Mercy Hospital Jefferson lowest Festus, MO Punch Bx Skin Single Lesion Pf | $37.05 | $57.00 | $399.44–$916.14 | 35% | — source file |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL PC BIOPSY SKIN PUNCH INIT LESN | $118.08 | $164.00 | $45.92–$1,082.34 | 28% | — source file |
| Mercy Hospital Washington Washington, MO Punch Bx Skin Single Lesion Mlp | $187.20 | $288.00 | $399.44–$508.96 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Punch Bx Skin Single Lesion Mlp | $187.20 | $288.00 | $37.17–$1,199.00 | 35% | — source file |
| Mercy Hospital Lincoln Elsberry, MO Punch Biopsy Skin Single Lesion | $188.25 | $251.00 | $100.40–$225.90 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Punch Biopsy Skin Single Lesion | $188.25 | $251.00 | $100.40–$225.90 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Punch Biopsy Skin Single Lesion | $188.25 | $251.00 | $100.40–$225.90 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Punch Biopsy Skin Single Lesion | $188.25 | $251.00 | $100.40–$225.90 | 25% | Jun 12, 2026 source file |
| Mercy Hospitals East Communities Washington, MO Punch Biopsy Skin Single Lesion | $188.25 | $251.00 | $100.40–$213.35 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Lincoln Elsberry, MO Punch Biopsy Skin Single Lesion | $188.25 | $251.00 | $100.40–$225.90 | 25% | Jun 12, 2026 source file |
| Mercy Hospital Washington Washington, MO Punch Bx Skin Single Lesion Pf | $220.35 | $339.00 | $340.59–$1,106.00 | 35% | — source file |
| Mercy Hospital Lincoln Troy, MO · (636) 528-8551 Punch Bx Skin Single Lesion | $358.80 | $552.00 | $2,087.00–$3,194.00 | 35% | — source file |
| Mercy Hospital St Louis Saint Louis, MO Punch Bx Skin Single Lesion | $421.20 | $648.00 | $37.17–$1,199.00 | 35% | — source file |
| St Josephs Hospital of the Hospital Sisters of the Third Order of St Francis Highland, IL · (618) 651-2600 HC BIOPSY SKIN PUNCH INIT LESN | $501.12 | $696.00 | $139.20–$888.55 | 28% | — source file |
| St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis O'Fallon, IL HC BIOPSY SKIN PUNCH INIT LESN | $503.28 | $699.00 | $195.72–$1,082.34 | 28% | — source file |
| Mercy Hospital Washington Washington, MO Punch Bx Skin Single Lesion | $600.60 | $924.00 | $3,199.00–$7,801.00 | 35% | — source file |
| Mercy Hospital South Saint Louis, MO · (314) 525-1000 Punch Bx Skin Single Lesion | $696.80 | $1,072.00 | $69.68–$1,072.00 | 35% | — source file |
| Gateway Regional Medical Center Granite City, IL · (618) 798-3000 PUNCH BX SKN SGL LES | $911.81 | $1,519.68 | $1,519.68 | 40% | — source file |
| Mercy Hospital Jefferson Festus, MO Punch Bx Skin Single Lesion | $1,195.35 | $1,839.00 | $3,428.00–$8,893.00 | 35% | — source file |
Outpatient: lowest $37.05, median $187.73, highest $911.81 — a 24.6× difference within the same market.
As an inpatient, the same code is billed by 5 facilities here, median $188.25. 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 10 of 10 hospitals that publish insurer rates for this code here, the cash price is below the highest rate a health plan has negotiated, and at 4 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.
2 rows held back from this comparison
They are priced below $1 or below a tenth of the national median for code 11104 ($366.37). Such a line is almost always a physician's fee billed separately, an assistant's share or a placeholder — a real charge, but not the price of the procedure itself.
| Mercy Hospital Jefferson Festus, MOPunch Bx Skin Single Lesion Mlp | $31.20 | file |
| Mercy Hospital Lincoln Troy, MOPunch Bx Skin Single Lesion Mlp | $31.20 | file |