Punch skin biopsy cost in Spokane, WA
In Spokane-Spokane Valley, WA, 3 hospitals list a cash price for skin biopsy, punch, one lesion: from $148.40 to $557.90, with a median of $503.30. The lowest listed price is at Providence Mount Carmel Hospital — $354.90 less than the median here. Across Washington, the median is $349.54 at 30 hospitals.
Cash prices at 3 facilities across 3 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 Apr 1, 2026 and Apr 1, 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 Spokane-Spokane Valley, WA.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Providence Mount Carmel Hospital lowest Colville, WA · (509) 684-2561 HC PR 11104 PUNCH BIOPSY SKIN SINGLE LESION | $148.40 | $212.00 | — | 30% | Apr 1, 2026 source file |
| Providence Mount Carmel Hospital Colville, WA · (509) 684-2561 HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM | $296.80 | $424.00 | — | 30% | Apr 1, 2026 source file |
| Providence Mount Carmel Hospital Colville, WA · (509) 684-2561 HC PUNCH BIOPSY SKIN SINGLE LESION | $296.80 | $424.00 | — | 30% | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC PUNCH BIOPSY SKIN SINGLE LESION | $503.30 | $719.00 | — | 30% | Apr 1, 2026 source file |
| Providence St Joseph Hospital Chewelah, WA · (509) 935-8211 HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM | $557.90 | $797.00 | — | 30% | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC PUNCH BIOPSY SKIN SINGLE LESION | $609.00 | $870.00 | — | 30% | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM | $609.00 | $870.00 | — | 30% | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM | $676.90 | $967.00 | — | 30% | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC PUNCH BIOPSY SKIN SINGLE LESION | $676.90 | $967.00 | — | 30% | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane, WA · (509) 482-0111 HC PUNCH BIOPSY SKIN SINGLE LESION | $676.90 | $967.00 | — | 30% | Apr 1, 2026 source file |
Outpatient: lowest $148.40, median $503.30, highest $557.90 — a 3.8× difference within the same market.
As an inpatient, the same code is billed by 3 facilities here, median $557.90. Inpatient and outpatient prices are not comparable and are kept on separate pages: the inpatient charge covers admission, not the same purchase.
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.