Surgery and procedures CPT 11104 Michigan Outpatient

Punch skin biopsy cost in Michigan

In Michigan, 79 hospitals publish a cash price for skin biopsy, punch, one lesion: from $48.50 to $3,951.01, with a median of $366.03. The lowest price is at University of Michigan Health-Sparrow Carson (Carson City) and 4 other hospitals. The highest price is 81.5× the lowest.

  • The median here, $366.03, is 7% below the US median of $393.50.
  • That is 0.9× Medicare's 2026 national rate for the same service ($415.32).
  • Michigan ranks 25th of 49 states by median, cheapest first.
  • 26 of 79 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 8, 2026. See them on a map

Lowest$48.50University of Michigan Health-Sparrow Carson + 4 more
Median$366.03half of hospitals charge less
Highest$3,951.01in Michigan
Lowest saves$317.53vs the median

Hospitals in Michigan, cheapest first

HospitalCash priceList priceFile date
University of Michigan Health-Sparrow Carson lowest Carson City · Grand Rapids-Wyoming-Kentwood, MI Punch Biopsy Skin Single Lesion $48.50 $194.00 Apr 1, 2026
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University of Michigan Health-Sparrow Clinton lowest St. Johns · Lansing-East Lansing, MI Punch Biopsy Skin Single Lesion $48.50 $194.00 Apr 1, 2026
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University of Michigan Health-Sparrow Eaton lowest Charlotte · Lansing-East Lansing, MI Punch Biopsy Skin Single Lesion $48.50 $194.00 Apr 1, 2026
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University of Michigan Health-Sparrow Ionia lowest Ionia · Grand Rapids-Wyoming-Kentwood, MI Punch Biopsy Skin Single Lesion $48.50 $194.00 Apr 1, 2026
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University of Michigan Health-Sparrow Lansing lowest Lansing · Lansing-East Lansing, MI Punch Biopsy Skin Single Lesion $48.50 $194.00 Apr 1, 2026
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Eaton Rapids Medical Center Eaton Rapids · Lansing-East Lansing, MI Punch Biopsy of Skin $89.60 $179.19 Jul 1, 2026
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McLaren Caro Region Caro · Caro, MI BP Punch Biopsy of Skin Single Lesion 11104 $107.40 $214.80 Dec 31, 2025
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Surgeons Choice Medical Center Southfield · Detroit-Warren-Dearborn, MI CL PF PUNCH BIOPSY SKIN LESION $109.00 $109.00 May 8, 2026
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Holland Community Hospital Holland · Holland, MI Punch biopsy, first skin growth $144.00 $240.00 Sep 21, 2026
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McKenzie Memorial Hospital Sandusky · Sandusky, MI REP SUPRFIC WOUNDS 2.5 OR< EXCL FACE $160.80 $201.00 May 31, 2025
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Henry Ford Rochester Hospital Rochester · Detroit-Warren-Dearborn, MI PF PUNCH BX SKIN SINGLE LESION $166.38 $354.00 Jan 1, 2026
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Aspirus Iron River Hospital Iron River · Iron River, MI Fac Punch Biopsy Skin Single Lesion $178.75 $275.00 Apr 1, 2026
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Aspirus Ironwood Hospital Ironwood · Ironwood, MI Fac Punch Biopsy Skin Single Lesion $178.75 $275.00 Apr 1, 2026
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Aspirus Keweenaw Hospital Laurium · Houghton, MI Fac Punch Biopsy Skin Single Lesion $178.75 $275.00 Apr 1, 2026
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McLaren Greater Lansing Lansing · Lansing-East Lansing, MI Punch BX single lesion 11104 $196.65 $393.30 Dec 31, 2025
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McLaren Port Huron Port Huron · Detroit-Warren-Dearborn, MI Punch BX single lesion 11104 $201.85 $403.70 Dec 31, 2025
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Munson Healthcare Cadillac Cadillac · Cadillac, MI Punch biopsy of skin 1 lesion 11104 $226.95 $267.00 Apr 17, 2026
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Karmanos Cancer Center Detroit · Detroit-Warren-Dearborn, MI 11104 PN BX SKIN SNG LES $228.45 $456.90 Dec 31, 2025
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McLaren Oakland Pontiac · Detroit-Warren-Dearborn, MI BP Punch Biopsy of Skin Single Lesion 11104 $237.05 $474.10 Dec 31, 2025
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Henry Ford Providence Novi Hospital - Novi Campus Novi · Detroit-Warren-Dearborn, MI SKIN/TISS/MEMB BX SNGL $254.24 $454.00 Jan 1, 2026
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Henry Ford Providence Southfield Hospital Southfield · Detroit-Warren-Dearborn, MI PUNCH BX SKIN SINGLE LES*11104 $254.24 $454.00 Jan 1, 2026
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Beacon Allegan Allegan · Holland, MI PUNCH BX SKIN SINGLE LESION $254.70 $519.80 Jan 1, 2026
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University of Michigan Health Ann Arbor · Ann Arbor, MI HC-Punch Bx Skin:Simple Closure:Single Lesion $261.60 $654.00 Mar 31, 2026
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Mercy Health Lakeshore Campus Shelby · Shelby, MI HC Biopsy Skin Punch Single Lesion $264.55 $407.00 Mar 31, 2026
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Mercy Health Partners, Mercy Campus Muskogen · Muskegon-Norton Shores, MI HC Biopsy Skin Punch Single Lesion $264.55 $407.00 Mar 31, 2026
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Mercy Health Saint Marys Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI HC Biopsy Skin Punch Single Lesion $264.55 $407.00 Mar 31, 2026
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McLaren Thumb Region Bad Axe · Bad Axe, MI Punch Biopsy Skin Single Lesion $268.50 $537.00 Dec 31, 2025
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McLaren Lapeer Region Lapeer · Detroit-Warren-Dearborn, MI Punch BX single lesion 11104 $294.30 $588.60 Dec 31, 2025
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McLaren Macomb Mount Clemens · Detroit-Warren-Dearborn, MI Punch Biopsy Skin; Single Lesion $294.50 $589.00 Dec 31, 2025
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McLaren Bay Region Bay City · Bay City, MI 11104- IR Punch Biopsy Skin, Sgl Lesion $310.80 $621.60 Dec 31, 2025
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St Joseph Mercy Ann Arbor Ypsilanti · Ypsilanti, MI HC Biopsy Skin Punch Single Lesion $316.55 $487.00 Mar 31, 2026
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St Joseph Mercy Chelsea Chelsea · Ann Arbor, MI HC Biopsy Skin Punch Single Lesion $316.55 $487.00 Mar 31, 2026
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St Joseph Mercy Livingston Hospital Brighton · Detroit-Warren-Dearborn, MI HC Biopsy Skin Punch Single Lesion $316.55 $487.00 Mar 31, 2026
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St Joseph Mercy Oakland Pontiac · Detroit-Warren-Dearborn, MI HC Biopsy Skin Punch Single Lesion $316.55 $487.00 Mar 31, 2026
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St Mary Mercy Livonia Livonia · Detroit-Warren-Dearborn, MI HC Biopsy Skin Punch Single Lesion $316.55 $487.00 Mar 31, 2026
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Memorial Healthcare Owosso · Owosso, MI PUNCH BX SKIN SINGLE LES-FAC $346.40 $433.00 Apr 1, 2026
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McLaren Northern Michigan Petoskey · Petoskey, MI BP Punch Biopsy of Skin Single Lesion 11104 $348.10 $696.20 Dec 31, 2025
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McLaren Central Michigan Mount Pleasant · Mount Pleasant, MI Punch Biopsy Skin; Singe Lesion $360.95 $721.90 Dec 31, 2025
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Kalkaska Memorial Health Center Kalkaska · Traverse City, MI PUNCH BX SKIN SINGLE LESION $362.95 $427.00 Apr 17, 2026
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Uphs Marquette Dlp Hospital Marquette · Marquette, MI Punch biopsy of skin (including simple closure, when performed); single lesion $366.03 $610.05 Jul 14, 2026
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Corewell Health Watervliet Hospital Watervliet · Niles, MI HC PUNCH BIOPSY SKIN SINGLE LESION $373.00 $373.00 May 1, 2026
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Lakeland Hospital, St Joseph St Joseph · Niles, MI Hc Punch Biopsy Skin Single Lesion $373.00 $373.00 Apr 1, 2026
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Munson Healthcare Charlevoix Hospital Charlevoix · Charlevoix, MI PUNCH BX SKIN SINGLE LESION $380.80 $448.00 Apr 17, 2026
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Munson Medical Center Traverse City · Traverse City, MI PUNCH BX SKIN SINGLE LESION WC $380.80 $448.00 Apr 17, 2026
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Corewell Health Blodgett Hospital East Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI Hc Punch Biopsy Skin Single Lesion $385.00 $385.00 Apr 1, 2026
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Corewell Health Butterworth Hospital Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI Hc Punch Biopsy Skin Single Lesion $385.00 $385.00 Apr 1, 2026
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Munson Healthcare Grayling Grayling · Grayling, MI Punch biopsy of skin 1 lesion 11104 $385.05 $453.00 Apr 17, 2026
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Corewell Health Big Rapids Hospital Big Rapids · Big Rapids, MI HC PUNCH BIOPSY SKIN SINGLE LESION $397.00 $397.00 May 1, 2026
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Corewell Health Gerber Hospital Fremont · Fremont, MI Hc Punch Biopsy Skin Single Lesion $397.00 $397.00 Apr 1, 2026
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Corewell Health Greenville Hospital Greenville · Grand Rapids-Wyoming-Kentwood, MI Hc Punch Biopsy Skin Single Lesion $397.00 $397.00 Apr 1, 2026
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Corewell Health Ludington Hospital Ludington · Ludington, MI HC PUNCH BIOPSY SKIN SINGLE LESION $397.00 $397.00 May 1, 2026
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Corewell Health Pennock Hospital Hastings · Grand Rapids-Wyoming-Kentwood, MI HC PUNCH BIOPSY SKIN SINGLE LESION $397.00 $397.00 May 1, 2026
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Corewell Health Reed City Hospital Reed City · Reed City, MI HC PUNCH BIOPSY SKIN SINGLE LESION $397.00 $397.00 May 1, 2026
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Corewell Health Zeeland Community Hospital Zeeland · Grand Rapids-Wyoming-Kentwood, MI HC PUNCH BIOPSY SKIN SINGLE LESION $397.00 $397.00 May 1, 2026
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Trinity Health Grand Haven Hospital Grand Haven · Grand Rapids-Wyoming-Kentwood, MI Punch bx single $442.00 $442.00 Nov 21, 2025
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Munson Healthcare Otsego Memorial Hospital Gaylord · Gaylord, MI Punch biopsy of skin 1 lesion 11104 $454.75 $535.00 Apr 17, 2026
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Corewell Health Blodgett Hospital Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI HC PUNCH BIOPSY SKIN SINGLE LESION $510.00 $510.00 May 1, 2026
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Corewell Helen Devos Childrens Hospital Grand Rapids · Grand Rapids-Wyoming-Kentwood, MI HC PUNCH BIOPSY SKIN SINGLE LESION $510.00 $510.00 May 1, 2026
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Harper University Hospital Detroit · Detroit-Warren-Dearborn, MI PUNCH BX SKIN SINGLE LESION $528.75 $705.00 Aug 20, 2026
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Henry Ford Health Hospital Detroit · Detroit-Warren-Dearborn, MI HB PUNCH BIOPSY SKIN SINGLE LESION $558.97 $260.00 Jun 28, 2026
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Henry Ford Health West Bloomfield Hospital West Bloomfield · Detroit-Warren-Dearborn, MI HB PUNCH BIOPSY SKIN SINGLE LESION $558.97 $260.00 Jun 28, 2026
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Baraga County Memorial Hospital Lanse · Lanse, MI PUNCH BIOPSY OF SKIN $564.00 $564.00 Jun 23, 2026
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Beaumont Hospital - Grosse Pointe Grosse Pointe · Detroit-Warren-Dearborn, MI Hc Punch Biopsy Skin Single Lesion $736.00 $736.00 Apr 1, 2026
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Beaumont Hospital - Taylor Taylor · Detroit-Warren-Dearborn, MI Hc Punch Biopsy Skin Single Lesion $736.00 $736.00 Apr 1, 2026
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Beaumont Hospital, Troy Troy · Detroit-Warren-Dearborn, MI Hc Punch Biopsy Skin Single Lesion $736.00 $736.00 Apr 1, 2026
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Corewell Health Trenton Hospital Trenton · Detroit-Warren-Dearborn, MI Hc Punch Biopsy Skin Single Lesion $736.00 $736.00 Apr 1, 2026
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Corewell Health Wayne Hospital Wayne · Detroit-Warren-Dearborn, MI Hc Punch Biopsy Skin Single Lesion $736.00 $736.00 Apr 1, 2026
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Mackinac Straits Hospital and Health Center Saint Ignace · Saint Ignace, MI Punch biopsy, first skin growth $755.40 $1,259.00 Oct 15, 2026
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Beaumont Hospital - Dearborn Dearborn · Detroit-Warren-Dearborn, MI HC PUNCH BIOPSY SKIN SINGLE LESION $764.00 $764.00 May 1, 2026
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Beaumont Hospital Royal Oak Royal Oak · Detroit-Warren-Dearborn, MI HC PUNCH BIOPSY SKIN SINGLE LESION $764.00 $764.00 May 1, 2026
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Corewell Health Farmington Hills Hospital Farmington Hills · Detroit-Warren-Dearborn, MI HC PUNCH BIOPSY SKIN SINGLE LESION $764.00 $764.00 May 1, 2026
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McLaren Flint Flint · Flint, MI BP Punch Biopsy of Skin Single Lesion 11104 $790.25 $1,580.50 Dec 31, 2025
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Hillsdale Hospital Hillsdale · Hillsdale, MI PUNCH BIOPSY OF SKIN 1 LESION $792.20 $932.00 Jan 23, 2026
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Sheridan Community Hospital Sheridan · Grand Rapids-Wyoming-Kentwood, MI Punch Biopsy of Skin, 1 Lesion $921.60 $1,152.00 Apr 22, 2026
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VHS Sinai Grace Hospital Detroit · Detroit-Warren-Dearborn, MI PUNCH BX SKIN SINGLE LESION $1,020.75 $1,361.00 Apr 8, 2026
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VHS Childrens Hospital of Michigan Detroit · Detroit-Warren-Dearborn, MI PUNCH BX SKIN SINGLE LESION $1,080.00 $1,440.00 Apr 6, 2026
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Three Rivers Health Three Rivers · Sturgis, MI PUNCH BIOPSY SKIN SINGLE LESION $1,126.45 $1,733.00 Jan 1, 2026
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VHS Detroit Receiving Hospital Detroit · Detroit-Warren-Dearborn, MI PUNCH BX SKIN SINGLE LESION $1,185.75 $1,581.00 Apr 7, 2026
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UP Health System - Portage Hancock · Houghton, MI Punch biopsy of skin (including simple closure, when performed); single lesion $3,951.01 $6,585.02 Jul 14, 2026
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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 areaHospitalsLowestMedian
Detroit-Warren-Dearborn, MI 26 $109.00 $543.86
Grand Rapids-Wyoming-Kentwood, MI 12 $48.50 $397.00
Lansing-East Lansing, MI 5 $48.50 $48.50
Ann Arbor, MI 2 $261.60 $289.08
Holland, MI 2 $144.00 $199.35
Houghton, MI 2 $178.75 $2,064.88
Niles, MI 2 $373.00 $373.00
Traverse City, MI 2 $362.95 $371.88
Bad Axe, MI 1 $268.50 $268.50
Bay City, MI 1 $310.80 $310.80
Big Rapids, MI 1 $397.00 $397.00
Caro, MI 1 $107.40 $107.40
Charlevoix, MI 1 $380.80 $380.80
Cadillac, MI 1 $226.95 $226.95
Fremont, MI 1 $397.00 $397.00
Flint, MI 1 $790.25 $790.25
Gaylord, MI 1 $454.75 $454.75
Grayling, MI 1 $385.05 $385.05
Hillsdale, MI 1 $792.20 $792.20
Iron River, MI 1 $178.75 $178.75
Ironwood, MI 1 $178.75 $178.75
Lanse, MI 1 $564.00 $564.00
Ludington, MI 1 $397.00 $397.00
Marquette, MI 1 $366.03 $366.03
Mount Pleasant, MI 1 $360.95 $360.95
Muskegon-Norton Shores, MI 1 $264.55 $264.55
Owosso, MI 1 $346.40 $346.40
Petoskey, MI 1 $348.10 $348.10
Reed City, MI 1 $397.00 $397.00
Saint Ignace, MI 1 $755.40 $755.40
Sandusky, MI 1 $160.80 $160.80
Shelby, MI 1 $264.55 $264.55
Sturgis, MI 1 $1,126.45 $1,126.45
Ypsilanti, MI 1 $316.55 $316.55
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

Median cash price across the state's hospitals.