Punch skin biopsy cost in Missouri
In Missouri, 54 hospitals publish a cash price for skin biopsy, punch, one lesion: from $80.55 to $5,616.00, with a median of $332.52. The lowest price is at Nevada City Hospital (Nevada). The highest price is 69.7× the lowest.
- The median here, $332.52, is 15% below the US median of $393.50.
- That is 0.8× Medicare's 2026 national rate for the same service ($415.32).
- Missouri ranks 19th of 49 states by median, cheapest first.
- 4 of 54 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$80.55Nevada City Hospital
Median$332.52half of hospitals charge less
Highest$5,616.00in Missouri
Lowest saves$251.97vs the median
Hospitals in Missouri, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Nevada City Hospital lowest Nevada · Nevada, MO RHC PUNCH BX SKIN SINGLE LESION-11104 | $80.55 | $179.00 | Jan 14, 2025 source file |
| Cox Medical Center Branson Branson · Branson, MO PUNCH BX SKIN SINGLE LESION | $94.15 | $414.76 | Apr 24, 2026 source file |
| Freeman Health System - Freeman West Joplin · Joplin, MO-KS SKIN BIOPSY SGL LESION PUNCH | $102.48 | $256.20 | Sep 1, 2026 source file |
| Freeman Health System - Freeman West Joplin · Joplin, MO-KS SKIN BIOPSY SGL LESION PUNCH | $102.48 | $256.20 | Sep 1, 2026 source file |
| Freeman Neosho Hospital Neosho · Joplin, MO-KS SKIN BIOPSY SGL LESION PUNCH | $102.48 | $256.20 | Sep 1, 2026 source file |
| Lester E Cox Medical Centers Springfield · Springfield, MO PUNCH BX SKIN SINGLE LESION | $104.52 | $414.76 | Apr 24, 2026 source file |
| Pike County Memorial Hospital Lousiana · Lousiana, MO 11104 Punch biopsy of skin (including simple closure, when performed); single lesion | $112.00 | $140.00 | May 5, 2026 source file |
| Scotland County Memorial Hospital Memphis · Memphis, MO PF PNCH BX SKN SING LESION | $112.00 | $160.00 | Oct 24, 2026 source file |
| Carroll County Memorial Hospital Carrollton · Carrollton, MO 11104 - Punch biopsy of skin (including simple closure, when performed); single lesion | $112.50 | $150.00 | Jul 7, 2024 source file |
| Ste. Genevieve County Memorial Hospital Ste. Genevieve · Ste. Genevieve, MO PUNCH BX SKIN SINGLE LESION | $124.50 | $249.00 | May 19, 2026 source file |
| Texas County Memorial Hospital Houston · Houston, MO PUNCH BIOPSY,SKIN SINGLE LESIO CPT-11104 | $155.00 | $155.00 | Jul 17, 2026 source file |
| Citizens Memorial Hospital Bolivar · Springfield, MO PUNCH BIOPSY; FIRST SKIN GROWTH | $158.40 | $198.00 | Mar 25, 2026 source file |
| Harrison County Community Hospital Bethany · Bethany, MO PUNCH BX SKIN SINGLE LESION | $167.70 | $258.00 | Oct 8, 2026 source file |
| Madison Medical Center Fredericktown · Fredericktown, MO PUNCH BX SINGLE LESION | $216.00 | $240.00 | Oct 13, 2026 source file |
| Mercy Perry Perryville · Perryville, MO Punch Bx Skin Single Lesion | $235.30 | $362.00 | Mar 12, 2026 source file |
| Mercy Hospital Joplin Joplin · Joplin, MO-KS Punch Bx Skin Single Lesion | $241.15 | $371.00 | Jun 9, 2026 source file |
| Mercy Hospital Aurora Aurora · Aurora, MO Punch Bx Skin Single Lesion | $242.45 | $373.00 | Jun 10, 2026 source file |
| Mercy Hospital Cassville Cassville · Cassville, MO Punch Bx Skin Single Lesion | $242.45 | $373.00 | Jun 10, 2026 source file |
| Children's Mercy Hospital Kansas City · Kansas City, MO-KS PUNCH BX SKIN SINGLE LESION TX RM SUR | $262.08 | $546.00 | Apr 1, 2026 source file |
| Cox Barton County Hospital Lamar · Lamar, MO PUNCH BX SKIN SINGLE LESION | $272.42 | $853.98 | Apr 24, 2026 source file |
| Phelps Health one side Rolla · Rolla, MO PUNCH BIOPSY; FIRST SKIN GROWTH | $283.25 | $404.64 | Feb 26, 2026 source file |
| Hermann Area Hospital District Hermann · Hermann, MO Punch biopsy, first skin growth | $292.20 | $487.00 | Oct 28, 2026 source file |
| Heartland Long Term Acute Hospital St. Joseph · St. Joseph, MO-KS HC PUNCH BIOPSY SKIN; SINGLE LESION -CLINIC | $297.50 | $350.00 | Jun 23, 2026 source file |
| Mosaic Life Care at St Joseph Medical Center St. Joseph · St. Joseph, MO-KS HC PUNCH BIOPSY SKIN; SINGLE LESION -CLINIC | $297.50 | $350.00 | Sep 26, 2025 source file |
| Mosaic Medical Center Albany Albany · Albany, MO HC PUNCH BIOPSY SKIN; SINGLE LESION -CLINIC | $297.50 | $350.00 | Sep 26, 2025 source file |
| Mosaic Medical Center Maryville Maryville · Maryville, MO HC PUNCH BIOPSY SKIN; SINGLE LESION -CLINIC | $297.50 | $350.00 | Sep 26, 2025 source file |
| Golden Valley Memorial Hospital Clinton · Clinton, MO PUNCH BX SKIN SINGLE LESION | $323.03 | $538.38 | Jul 1, 2026 source file |
| Liberty Hospital Liberty · Kansas City, MO-KS 6S PUNCH BX SKIN SINGLE L | $342.00 | $1,227.00 | Jul 9, 2026 source file |
| Curators of the University of Missouri Columbia · Columbia, MO PUNCH BIOPSY OF SKIN (W SIMPLE CLOSURE); SINGLE LESION-JIMC | $346.20 | $577.00 | Dec 15, 2025 source file |
| Mercy Hospital Carthage Carthage · Joplin, MO-KS Punch Bx Skin Single Lesion | $352.30 | $542.00 | Jun 9, 2026 source file |
| Mercy Hospital Lincoln Troy · St. Louis, MO-IL Punch Bx Skin Single Lesion | $358.80 | $552.00 | Jun 10, 2026 source file |
| Bates County Memorial Hospital Butler · Kansas City, MO-KS PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED); SINGLE LESION | $401.28 | $573.25 | Apr 20, 2026 source file |
| St Joseph Medical Center Kansas City · Kansas City, MO-KS Hc Punch Biopsy Skin Single Lesion | $405.00 | $859.37 | Mar 17, 2026 source file |
| NKC Health North Kansas City · Kansas City, MO-KS Punch Biopsy Of Skin Single Lesion | $415.28 | $1,432.00 | Mar 6, 2026 source file |
| Mercy Hospital Lebanon Lebanon · Lebanon, MO Punch Bx Skin Single Lesion | $415.35 | $639.00 | Jun 10, 2026 source file |
| Mercy Hospital St Louis Saint Louis · St. Louis, MO-IL Punch Bx Skin Single Lesion | $421.20 | $648.00 | Jun 4, 2026 source file |
| Mercy Hospital Southeast Cape Girardeau · Cape Girardeau, MO-IL Punch Bx Skin Single Lesion | $445.25 | $685.00 | Jun 11, 2026 source file |
| Mercy Hospital Stoddard Dexter · Dexter, MO Punch Bx Skin Single Lesion | $445.25 | $685.00 | Jun 11, 2026 source file |
| Mercy Hospital Springfield Springfield · Springfield, MO Punch Bx Skin Single Lesion | $455.00 | $700.00 | Jun 4, 2026 source file |
| Mercy Orthopedic Hospital Springfield Ozark · Springfield, MO Punch Bx Skin Single Lesion | $455.00 | $700.00 | Jun 4, 2026 source file |
| Lakewood Medical Center Kansas City · Kansas City, MO-KS 11104 Punch Bx of Skin, Single Les CC | $457.60 | $832.00 | Aug 5, 2026 source file |
| University Health Truman Medical Center Kansas City · Kansas City, MO-KS 11104 Punch Bx of Skin, Single Les CC | $457.60 | $832.00 | Aug 5, 2026 source file |
| Bothwell Regional Health Center Sedalia · Sedalia, MO PUNCH BIOPSY; FIRST SKIN GROWTH | $566.25 | $755.00 | Mar 26, 2026 source file |
| Mercy Hospital Washington Washington · St. Louis, MO-IL Punch Bx Skin Single Lesion | $600.60 | $924.00 | Jun 10, 2026 source file |
| Boone Hospital Center Columbia · Columbia, MO PUNCH BX SKIN SINGLE LES 11104 | $604.20 | $1,007.00 | Apr 1, 2026 source file |
| Mercy Hospital South Saint Louis · St. Louis, MO-IL Punch Bx Skin Single Lesion | $696.80 | $1,072.00 | Jun 10, 2026 source file |
| Sullivan County Memorial Hospital Milan · Milan, MO PUNCH BIOPSY SKIN SINGLE LESION | $1,119.00 | $1,119.00 | Jul 1, 2026 source file |
| Mercy Hospital Jefferson Festus · St. Louis, MO-IL Punch Bx Skin Single Lesion | $1,195.35 | $1,839.00 | Jun 10, 2026 source file |
| Western Missouri Medical Center Warrensburg · Warrensburg, MO 11100 BX OF SKIN; 1 LESION CHARGE | $1,296.50 | $1,296.50 | Apr 1, 2026 source file |
| Lake Regional Health System Osage Beach · Osage Beach, MO Punch bx skin single lesion | $2,036.78 | $6,789.25 | Oct 15, 2026 source file |
| Poplar Bluff Regional Medical Center Poplar Bluff · Poplar Bluff, MO PUNCH BX SKIN SINGLE LESION | $3,037.06 | $14,462.17 | Apr 1, 2026 source file |
| Moberly Regional Medical Center Moberly · Moberly, MO PUNCH BX SKIN SINGLE LESION | $3,216.35 | $11,912.40 | Apr 1, 2026 source file |
| Missouri Delta Medical Center Sikeston · Sikeston, MO Punch bx skin single lesion | $3,286.71 | $13,146.82 | Aug 7, 2026 source file |
| Saint Francis Medical Center Cape Girardeau · Cape Girardeau, MO-IL Hc Punch Biopsy Skin | $5,616.00 | $5,616.00 | 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 |
|---|---|---|---|
| Kansas City, MO-KS | 7 | $262.08 | $405.00 |
| Joplin, MO-KS | 5 | $102.48 | $102.48 |
| St. Louis, MO-IL | 5 | $358.80 | $600.60 |
| Springfield, MO | 4 | $104.52 | $306.70 |
| Cape Girardeau, MO-IL | 2 | $445.25 | $3,030.62 |
| Columbia, MO | 2 | $346.20 | $475.20 |
| St. Joseph, MO-KS | 2 | $297.50 | $297.50 |
| Albany, MO | 1 | $297.50 | $297.50 |
| Aurora, MO | 1 | $242.45 | $242.45 |
| Bethany, MO | 1 | $167.70 | $167.70 |
| Branson, MO | 1 | $94.15 | $94.15 |
| Carrollton, MO | 1 | $112.50 | $112.50 |
| Cassville, MO | 1 | $242.45 | $242.45 |
| Clinton, MO | 1 | $323.03 | $323.03 |
| Dexter, MO | 1 | $445.25 | $445.25 |
| Fredericktown, MO | 1 | $216.00 | $216.00 |
| Hermann, MO | 1 | $292.20 | $292.20 |
| Houston, MO | 1 | $155.00 | $155.00 |
| Lamar, MO | 1 | $272.42 | $272.42 |
| Lousiana, MO | 1 | $112.00 | $112.00 |
| Lebanon, MO | 1 | $415.35 | $415.35 |
| Memphis, MO | 1 | $112.00 | $112.00 |
| Milan, MO | 1 | $1,119.00 | $1,119.00 |
| Maryville, MO | 1 | $297.50 | $297.50 |
| Moberly, MO | 1 | $3,216.35 | $3,216.35 |
| Nevada, MO | 1 | $80.55 | $80.55 |
| Osage Beach, MO | 1 | $2,036.78 | $2,036.78 |
| Perryville, MO | 1 | $235.30 | $235.30 |
| Poplar Bluff, MO | 1 | $3,037.06 | $3,037.06 |
| Rolla, MO | 1 | $283.25 | $283.25 |
| Ste. Genevieve, MO | 1 | $124.50 | $124.50 |
| Sedalia, MO | 1 | $566.25 | $566.25 |
| Sikeston, MO | 1 | $3,286.71 | $3,286.71 |
| Warrensburg, MO | 1 | $1,296.50 | $1,296.50 |
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
- Iowa$265.30
- 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
- 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.