Punch skin biopsy cost in Washington, DC — inpatient
In Washington-Arlington-Alexandria, DC-VA-MD-WV, 6 hospitals list a cash price for skin biopsy, punch, one lesion as an inpatient: from $393.50 to $436.00, with a median of $436.00. The lowest listed price is at Sentara Northern Virginia Medical Center — $42.50 less than the median here.
Cash prices at 6 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 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 Washington-Arlington-Alexandria, DC-VA-MD-WV.
Hospitals, cheapest first
| Hospital | Cash price | List price | Insurers pay | Off list | File date |
|---|---|---|---|---|---|
| Sentara Northern Virginia Medical Center lowest Woodbridge, VA · (703) 523-1000 Punch Bx Skin Single Lesion | $393.50 | $787.00 | — | 50% | Apr 1, 2026 source file |
| Sentara Northern Virginia Medical Center lowest Woodbridge, VA · (703) 523-1000 11104 Punch Bx Skin Single Les | $393.50 | $787.00 | — | 50% | Apr 1, 2026 source file |
| Inova Mount Vernon Hospital Alexandria, VA · (703) 664-7105 HC BX SKIN PUNCH SGL LES | $436.00 | $872.00 | $398.50–$2,561.00 | 50% | — source file |
| Inova Fairfax Hospital Falls Church, VA · (703) 698-1110 HC BX SKIN PUNCH SGL LES | $436.00 | $872.00 | $398.50–$2,561.00 | 50% | — source file |
| Inova Alexandria Hospital Alexandria, VA · (703) 504-3167 HC BX SKIN PUNCH SGL LES | $436.00 | $872.00 | $398.50–$2,561.00 | 50% | — source file |
| Inova Fair Oaks Hospital Fairfax, VA · (703) 391-4170 HC BX SKIN PUNCH SGL LES | $436.00 | $872.00 | $398.50–$2,561.00 | 50% | — source file |
| Inova Loudoun Hospital Leesburg, VA · (703) 858-6600 HC BX SKIN PUNCH SGL LES | $436.00 | $872.00 | $398.50–$2,561.00 | 50% | — source file |
Inpatient: lowest $393.50, median $436.00, highest $436.00 — a 1.1× difference within the same market.
As an outpatient, the same code is billed by 7 facilities here, median $436.00 — 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 none is it 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.