Punch skin biopsy cost in St. Louis, MO — inpatient
In St. Louis, MO-IL, 5 hospitals list a cash price for skin biopsy, punch, one lesion as an inpatient: from $118.08 to $911.81, with a median of $188.25. The lowest listed price is at St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis — $70.17 less than the median here. Across Missouri, the median is $202.80 at 30 hospitals.
Cash prices at 5 facilities across 5 cities for code 11104, as an inpatient (admitted to hospital) . 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 |
|---|---|---|---|---|---|
| St Elizabeths Hospital of the Hospital Sisters of the Third Order of St Francis lowest O'Fallon, IL PC BIOPSY SKIN PUNCH INIT LESN | $118.08 | $164.00 | $45.92–$1,082.34 | 28% | — 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 |
| 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 |
| 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 |
Inpatient: lowest $118.08, median $188.25, highest $911.81 — a 7.7× difference within the same market.
As an outpatient, the same code is billed by 10 facilities here, median $187.73 — that is the price to compare if you are not being admitted.
Cash or insurance?
At 5 of 5 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.