Punch skin biopsy cost in Iowa
In Iowa, 66 hospitals publish a cash price for skin biopsy, punch, one lesion: from $43.40 to $1,523.80, with a median of $265.30. The lowest price is at WinnMed (Decorah). The highest price is 35.1× the lowest.
- The median here, $265.30, is 33% below the US median of $393.50.
- That is 0.6× Medicare's 2026 national rate for the same service ($415.32).
- Iowa ranks 13th of 49 states by median, cheapest first.
- 7 of 66 hospitals list a cash price equal to their full list price, with no self-pay discount.
Outpatient cash prices, one line per hospital — its lowest listed price for code 11104. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 7, 2026. See them on a map
Lowest$43.40WinnMed
Median$265.30half of hospitals charge less
Highest$1,523.80in Iowa
Lowest saves$221.90vs the median
Hospitals in Iowa, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| WinnMed lowest Decorah · Decorah, IA Punch biopsy, first skin growth | $43.40 | $62.00 | Oct 13, 2026 source file |
| Hancock County Health System Britt · Britt, IA Punch biopsy, first skin growth | $65.25 | $87.00 | Oct 20, 2026 source file |
| Spencer Municipal Hospital Spencer · Spencer, IA Punch Biopsy 1st Lesion | $107.25 | $143.00 | Jan 1, 2026 source file |
| Washington County Hospital Washington · Iowa City, IA Punch biopsy, first skin growth | $117.00 | $156.00 | Oct 20, 2026 source file |
| Shelby County Chris A Myrtue Memorial Hospital Harlan · Harlan, IA Punch biopsy, first skin growth | $123.54 | $213.00 | Apr 21, 2026 source file |
| Audubon County Memorial Hospital Audubon · Audubon, IA Punch biopsy, first skin growth | $130.00 | $130.00 | Sep 14, 2026 source file |
| Belmond Community Hospital Belmond · Belmond, IA Punch biopsy, first skin growth | $135.60 | $226.00 | Apr 22, 2026 source file |
| Iowa Specialty Hospital-Clarion Clarion · Clarion, IA Punch biopsy, first skin growth | $141.00 | $235.00 | Jun 11, 2026 source file |
| Hansen Family Hospital Iowa Falls · Iowa Falls, IA Punch biopsy, first skin growth | $148.27 | $148.27 | Jul 10, 2026 source file |
| Sioux Center Health Sioux Center · Sioux Center, IA | $148.41 | $153.00 | Apr 1, 2026 source file |
| Gundersen Palmer Lutheran Hospital and Clinic West Union · West Union, IA HCHG 11104 PUNCH BIOPSY SKIN; SINGLE LESION | $151.47 | $255.00 | Jun 27, 2026 source file |
| Van Buren County Hospital Keosauqua · Keosauqua, IA Punch biopsy, first skin growth | $159.60 | $228.00 | Jul 20, 2026 source file |
| Avera Holy Family Hospital Estherville · Estherville, IA | $164.90 | $170.00 | — source file |
| Methodist Jennie Edmundson Hospital Council Bluffs · Omaha, NE-IA Punch Bx of skin sgle lesion | $166.50 | $555.00 | Feb 15, 2026 source file |
| Community Memorial Hospital Medical Center Sumner · Waterloo-Cedar Falls, IA HC PUNCH BX SKIN SINGLE LESION | $167.20 | $209.00 | Jun 18, 2026 source file |
| Alegent Health - Mercy Hospital, Corning Iowa Corning · Corning, IA HC PUNCH BIOPSY SKIN SINGLE LESION | $169.65 | $377.00 | Sep 30, 2026 source file |
| Story County Hospital Nevada · Ames, IA PR PUNCH BIOPSY SKIN SINGLE LESION | $170.40 | $213.00 | Mar 30, 2026 source file |
| MercyOne Waterloo Medical Center Waterloo · Waterloo-Cedar Falls, IA HC Biopsy Skin Punch Single Lesion | $171.60 | $264.00 | Mar 31, 2026 source file |
| Hawarden Regional Healthcare Harwarden · Harwarden, IA PUNCH BIOPSY SKIN SINGLE LESION | $172.48 | $202.92 | Apr 24, 2026 source file |
| Manning Regional Healthcare Center Manning · Carroll, IA Punch biopsy, first skin growth | $179.56 | $268.00 | Oct 16, 2026 source file |
| Alegent Health Community Memorial Hospital of Missouri Valley, Iowa Missouri Valley · Omaha, NE-IA HC PUNCH BIOPSY SKIN SINGLE LESION | $188.50 | $377.00 | Sep 30, 2026 source file |
| Rawford County Memorial Hospital Denison · Denison, IA Punch biopsy, first skin growth | $212.00 | $265.00 | Jul 27, 2026 source file |
| Mercy Medical Center - New Hampton New Hampton · New Hampton, IA HC Biopsy Skin Punch Single Lesion | $213.85 | $329.00 | Mar 31, 2026 source file |
| MercyOne Elkader Medical Center Elkader · Elkader, IA HC Biopsy Skin Punch Single Lesion | $213.85 | $329.00 | Mar 31, 2026 source file |
| MercyOne Clinton Medical Center Clinton · Clinton, IA HC Biopsy Skin Punch Single Lesion | $218.40 | $336.00 | Mar 31, 2026 source file |
| Loring Hospital Sac City · Sac City, IA HC PUNCH BX SKIN SINGLE LESION | $219.20 | $274.00 | Aug 25, 2026 source file |
| Franklin General Hospital Hampton · Hampton, IA Punch biopsy, first skin growth | $220.50 | $245.00 | Nov 3, 2026 source file |
| Orange City Municipal Hospital Orange City · Orange City, IA Punch biopsy, first skin growth | $228.00 | $285.00 | Sep 23, 2026 source file |
| Decatur County Hospital Leon · Leon, IA Punch biopsy, first skin growth | $260.00 | $325.00 | Mar 4, 2026 source file |
| CHI Health Mercy Council Bluffs Council Bluffs · Omaha, NE-IA HC PUNCH BIOPSY SKIN SINGLE LESION | $260.58 | $606.00 | Sep 30, 2026 source file |
| Madison County Memorial Hospital Winterset · Des Moines-West Des Moines, IA Punch biopsy, first skin growth | $262.40 | $328.00 | Oct 21, 2026 source file |
| MercyOne North Iowa Medical Center Mason City · Mason City, IA HC Biopsy Skin Punch Single Lesion | $263.25 | $405.00 | Mar 31, 2026 source file |
| University of Iowa Health Care Medical Center Down Iowa City · Iowa City, IA HB PUNCH BIOPSY SKIN SINGLE LESION | $265.30 | $379.00 | Mar 11, 2026 source file |
| University of Iowa Hospital & Clinics Iowa City · Iowa City, IA HB PUNCH BIOPSY SKIN SINGLE LESION | $265.30 | $379.00 | Mar 11, 2026 source file |
| Jefferson County Hospital Fairfield · Fairfield, IA Punch biopsy, first skin growth | $267.00 | $445.00 | Aug 20, 2026 source file |
| Waverly Health Center Waverly · Waterloo-Cedar Falls, IA Punch biopsy, first skin growth | $301.08 | $579.00 | Oct 19, 2026 source file |
| Boone County Hospital Boone · Ames, IA Punch biopsy, first skin growth | $304.00 | $380.00 | Jul 27, 2026 source file |
| MercyOne Genesis Davenport Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL GHS ID PUNCH BX SINGLE LESION | $321.00 | $535.00 | Mar 31, 2026 source file |
| MercyOne Genesis Davenport West Medical Center Davenport · Davenport-Moline-Rock Island, IA-IL GHS PUNCH BX SKIN SINGLE LES | $321.00 | $535.00 | Mar 31, 2026 source file |
| The Finley Hospital Dubuque · Dubuque, IA HC PUNCH BX SKIN SINGLE LESION | $336.24 | $420.30 | Nov 4, 2026 source file |
| Virginia Gay Hospital Vinton · Cedar Rapids, IA Punch biopsy, first skin growth | $337.60 | $422.00 | Aug 13, 2026 source file |
| Broadlawns Medical Center Des Moines · Des Moines-West Des Moines, IA Punch Bx Skin Single Lesion | $343.00 | $343.00 | Sep 1, 2026 source file |
| St Anthony Regional Hospital and Nursing Home Carroll · Carroll, IA Punch biopsy, first skin growth | $360.00 | $360.00 | Nov 3, 2026 source file |
| Pocahontas Community Hospital Pocahontas · Pocahontas, IA HC PUNCH BX SKIN SINGLE LESION | $364.00 | $364.00 | Mar 29, 2026 source file |
| Adair County Memorial Hospital Greenfield · Greenfield, IA Punch biopsy, first skin growth | $382.50 | $510.00 | Sep 2, 2026 source file |
| UnityPoint Health - Jones Regional Medical Center Anamosa · Cedar Rapids, IA HC PUNCH BX SKIN SINGLE LESION | $398.06 | $497.57 | Jan 28, 2026 source file |
| Trinity - Bettendorf Bettendorf · Davenport-Moline-Rock Island, IA-IL HC PUNCH BX SKIN SINGLE LESION | $405.65 | $507.06 | Nov 4, 2026 source file |
| Unity Healthcare Muscatine · Muscatine, IA HC PUNCH BX SKIN SINGLE LESION | $405.65 | $507.06 | Nov 4, 2026 source file |
| Floyd County Memorial Hospital Commission Charles City · Charles City, IA Punch biopsy, first skin growth | $415.20 | $1,038.00 | Sep 30, 2026 source file |
| Grundy County Memorial Hospital Grundy Center · Waterloo-Cedar Falls, IA HC PUNCH BX SKIN SINGLE LESION | $418.40 | $523.00 | Jun 29, 2026 source file |
| Trinity Regional Medical Center Fort Dodge · Fort Dodge, IA HC PUNCH BX SKIN SINGLE LESION | $429.80 | $537.25 | Nov 4, 2026 source file |
| Allen Hospital Waterloo · Waterloo-Cedar Falls, IA HC PUNCH BX SKIN SINGLE LESION | $435.02 | $543.77 | Nov 4, 2026 source file |
| UnityPoint Health Marshalltown Marshalltown · Marshalltown, IA HC PUNCH BX SKIN SINGLE LESION | $435.02 | $543.77 | Nov 4, 2026 source file |
| Clarinda Regional Health Center Clarinda · Clarinda, IA Punch biopsy, first skin growth | $458.25 | $611.00 | Oct 23, 2026 source file |
| St Luke's Methodist Hospital Cedar Rapids · Cedar Rapids, IA HC PUNCH BX SKIN SINGLE LESION | $462.23 | $577.78 | Jan 28, 2026 source file |
| MercyOne Des Moines Medical Center Des Moines · Des Moines-West Des Moines, IA HC Biopsy Skin Punch Single Lesion | $481.65 | $741.00 | Mar 31, 2026 source file |
| Sanford Sheldon Medical Center Sheldon · Sheldon, IA SURG 11104 PUNCH BIOPSY SKIN SINGLE LESION | $517.60 | $647.00 | Mar 4, 2026 source file |
| Jackson County Regional Health Center Maquoketa · Maquoketa, IA GHS PUNCH BX SKIN SINGLE LES | $520.00 | $520.00 | Aug 11, 2026 source file |
| St Lukes Regional Medical Center Sioux City · Sioux City, IA-NE-SD HC PUNCH BX SKIN SINGLE LESION | $520.00 | $650.00 | Nov 4, 2026 source file |
| Buena Vista Regional Medical Center Storm Lake · Storm Lake, IA HC PUNCH BX SKIN SINGLE LESION | $540.00 | $675.00 | Mar 31, 2026 source file |
| Greene County Medical Center Jefferson · Jefferson, IA HC PUNCH BX SKIN SINGLE LESION | $559.44 | $999.00 | Mar 26, 2026 source file |
| Wayne County Hospital Corydon · Corydon, IA Punch biopsy, first skin growth | $566.00 | $566.00 | Jun 10, 2026 source file |
| Stewart Memorial Community Hospital Lake City · Lake City, IA PUNCH BX SKIN SINGLE LESION | $569.00 | $712.00 | Oct 8, 2024 source file |
| UnityPoint Health - Des Moines Iowa Methodist Medical Des Moines · Des Moines-West Des Moines, IA HC PUNCH BX SKIN SINGLE LESION | $570.54 | $713.17 | Nov 4, 2026 source file |
| Regional Medical Center Manchester · Manchester, IA PUNCH BX SKIN SINGLE LESION | $756.00 | $945.00 | Feb 20, 2026 source file |
| Lakes Regional Hospital Spirit Lake · Spirit Lake, IA | $1,523.80 | $1,604.00 | Apr 1, 2026 source file |
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
File date When the hospital last updated its price file, as the file says itself. A dash means the file gives no date.
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
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Waterloo-Cedar Falls, IA | 5 | $167.20 | $301.08 |
| Des Moines-West Des Moines, IA | 4 | $262.40 | $412.32 |
| Davenport-Moline-Rock Island, IA-IL | 3 | $321.00 | $321.00 |
| Iowa City, IA | 3 | $117.00 | $265.30 |
| Omaha, NE-IA | 3 | $166.50 | $188.50 |
| Ames, IA | 2 | $170.40 | $237.20 |
| Carroll, IA | 2 | $179.56 | $269.78 |
| Cedar Rapids, IA | 2 | $337.60 | $367.83 |
| Audubon, IA | 1 | $130.00 | $130.00 |
| Belmond, IA | 1 | $135.60 | $135.60 |
| Britt, IA | 1 | $65.25 | $65.25 |
| Cedar Rapids, IA | 1 | $462.23 | $462.23 |
| Charles City, IA | 1 | $415.20 | $415.20 |
| Clarinda, IA | 1 | $458.25 | $458.25 |
| Clarion, IA | 1 | $141.00 | $141.00 |
| Corning, IA | 1 | $169.65 | $169.65 |
| Corydon, IA | 1 | $566.00 | $566.00 |
| Clinton, IA | 1 | $218.40 | $218.40 |
| Decorah, IA | 1 | $43.40 | $43.40 |
| Denison, IA | 1 | $212.00 | $212.00 |
| Dubuque, IA | 1 | $336.24 | $336.24 |
| Elkader, IA | 1 | $213.85 | $213.85 |
| Estherville, IA | 1 | $164.90 | $164.90 |
| Fairfield, IA | 1 | $267.00 | $267.00 |
| Fort Dodge, IA | 1 | $429.80 | $429.80 |
| Greenfield, IA | 1 | $382.50 | $382.50 |
| Hampton, IA | 1 | $220.50 | $220.50 |
| Harlan, IA | 1 | $123.54 | $123.54 |
| Harwarden, IA | 1 | $172.48 | $172.48 |
| Iowa Falls, IA | 1 | $148.27 | $148.27 |
| Jefferson, IA | 1 | $559.44 | $559.44 |
| Keosauqua, IA | 1 | $159.60 | $159.60 |
| Lake City, IA | 1 | $569.00 | $569.00 |
| Leon, IA | 1 | $260.00 | $260.00 |
| Manchester, IA | 1 | $756.00 | $756.00 |
| Maquoketa, IA | 1 | $520.00 | $520.00 |
| Marshalltown, IA | 1 | $435.02 | $435.02 |
| Mason City, IA | 1 | $263.25 | $263.25 |
| Muscatine, IA | 1 | $405.65 | $405.65 |
| New Hampton, IA | 1 | $213.85 | $213.85 |
| Orange City, IA | 1 | $228.00 | $228.00 |
| Pocahontas, IA | 1 | $364.00 | $364.00 |
| Sac City, IA | 1 | $219.20 | $219.20 |
| Sheldon, IA | 1 | $517.60 | $517.60 |
| Sioux Center, IA | 1 | $148.41 | $148.41 |
| Sioux City, IA-NE-SD | 1 | $520.00 | $520.00 |
| Spencer, IA | 1 | $107.25 | $107.25 |
| Spirit Lake, IA | 1 | $1,523.80 | $1,523.80 |
| Storm Lake, IA | 1 | $540.00 | $540.00 |
| West Union, IA | 1 | $151.47 | $151.47 |
Market A metro area (as the Census Bureau defines it) or, outside metro areas, a town. Each links to every hospital price there.
Hospitals How many hospitals publish a cash price for this code here. Each hospital counts once, at its lowest outpatient cash price.
Lowest The lowest cash price among those hospitals.
Median The middle cash price: half of the hospitals charge less, half charge more. One price per hospital. More
What punch skin biopsy is, what the price covers and why prices differ: Punch skin biopsy explained.
Skin biopsy, punch, one lesion in other states
- Alabama$338.50
- Alaska$447.78
- Arizona$498.85
- Arkansas$262.10
- California$722.80
- Colorado$608.00
- Connecticut$420.38
- Delaware$753.48
- District of Columbia$578.98, 3 hospitals
- Florida$819.93
- Georgia$571.02
- Hawaii$597.18
- Idaho$228.45
- Illinois$372.00
- Indiana$451.30
- Kansas$504.43
- Kentucky$261.23
- Louisiana$310.04
- Maine$260.75
- Maryland$612.15
- Massachusetts$544.63
- Michigan$366.03
- Minnesota$288.45
- Mississippi$237.79
- Missouri$332.52
- Montana$320.09
- Nebraska$260.58
- Nevada$335.50
- New Hampshire$154.65
- New Jersey$538.97
- New Mexico$481.74
- New York$689.75
- North Carolina$292.50
- North Dakota$339.50
- Ohio$445.23
- Oklahoma$350.40
- Oregon$254.09
- Pennsylvania$658.20
- Rhode Island$454.00
- South Carolina$592.00
- South Dakota$466.40
- Tennessee$186.90
- Texas$440.55
- Utah$365.04, 4 hospitals
- Vermont$229.06
- Virginia$311.40
- Washington$336.96
- West Virginia$384.25
- Wisconsin$240.00
- Wyoming$260.10
Median cash price across the state's hospitals.