Surgery and procedures CPT 11104 Nebraska Outpatient

Punch skin biopsy cost in Nebraska

In Nebraska, 42 hospitals publish a cash price for skin biopsy, punch, one lesion: from $44.25 to $816.05, with a median of $260.58. The lowest price is at Saunders Medical Center (Wahoo). The highest price is 18.4× the lowest.

  • The median here, $260.58, is 34% below the US median of $393.50.
  • That is 0.6× Medicare's 2026 national rate for the same service ($415.32).
  • Nebraska ranks 9th of 49 states by median, cheapest first.
  • 8 of 42 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 10, 2026. See them on a map

Lowest$44.25Saunders Medical Center
Median$260.58half of hospitals charge less
Highest$816.05in Nebraska
Lowest saves$216.33vs the median

Hospitals in Nebraska, cheapest first

HospitalCash priceList priceFile date
Saunders Medical Center lowest Wahoo · Omaha, NE-IA SP TECH PUNCH BX OF SKIN $44.25 $59.00 Mar 31, 2026
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Nemaha County Hospital Auburn · Auburn, NE PUNCH BX SKIN SINGLE LESION $80.00 $80.00 Jun 1, 2026
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Providence Medical Center Wayne · Wayne, NE 11104 Punch biopsy of skin; single lesion $106.25 $125.00 Oct 20, 2026
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Kearney County Hospital Minden · Kearney, NE 11104 Punch Biopsy Of Skin (Including Simple Closure, When Performed); Single Lesion $118.00 $147.00 —
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Gordon Memorial Hospital Gordon · Gordon, NE Punch Biopsy Skin Single Lesion $150.00 $150.00 —
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Garden County Health Services Oshkosh · Oshkosh, NE Punch Biopsy Initial $153.00 $225.00 —
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Howard County Medical Center St. Paul · Grand Island, NE All Outpatient Services $162.00 $162.00 Oct 14, 2026
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Bellevue Medical Center Bellevue · Omaha, NE-IA Punch biopsy, first skin growth $191.75 $295.00 Aug 10, 2026
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Nebraska Medical Center Omaha · Omaha, NE-IA Punch biopsy, first skin growth $191.75 $295.00 Aug 10, 2026
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Methodist Fremont Health Fremont · Fremont, NE WC-Punch Bx skin single lesion $197.95 $535.00 Feb 16, 2026
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Chadron Community Hospital Chadron · Chadron, NE 11104 Punch Biopsy Of Skin (Including Simple Closure, When Performed); Single Lesion $204.00 $292.00 —
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Nebraska Methodist Hospital Omaha · Omaha, NE-IA Punch Bx of skin sgle lesion $205.92 $572.00 Feb 14, 2026
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Rock County Hospital Bassett · Bassett, NE 11104 Punch Biopsy Skin Single Lesion $217.00 $228.00 —
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Pawnee County Memorial Hospital Pawnee City · Pawnee City, NE Biop Skin Sq Mm 1-punch B $219.00 $274.00 —
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Community Hospital - McCook McCook · McCook, NE BIOPSY SKIN, PUNCH 1 LESI $240.98 $267.75 Dec 27, 2025
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Cozad Community Hospital Cozad · Lexington, NE Punch Biopsy, Skin Lesion/single $243.00 $270.00 —
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York General Hospital York · York, NE Punch biopsy, first skin growth $246.50 $246.50 Jul 22, 2026
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Gothenburg Health Gothenburg · Lexington, NE 11104 Punch Biopsy Of Skin (Including Simple Closure, When Performed); Single Lesion $254.00 $282.00 —
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West Holt Memorial Hospital Atkinson · Atkinson, NE Cln Punch Biopsy Single Lesion $256.00 $320.00 —
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Alegent Health Immanuel Medical Center Omaha · Omaha, NE-IA HC PUNCH BIOPSY SKIN SINGLE LESION $260.58 $606.00 Sep 30, 2026
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CHI Health Bergan Mercy Omaha · Omaha, NE-IA HC PUNCH BIOPSY SKIN SINGLE LESION $260.58 $606.00 Sep 30, 2026
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CHI Health Lakeside Omaha · Omaha, NE-IA HC PUNCH BIOPSY SKIN SINGLE LESION $260.58 $606.00 Sep 30, 2026
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CHI Health Midlands Papillion · Omaha, NE-IA HC PUNCH BIOPSY SKIN SINGLE LESION $260.58 $606.00 Sep 30, 2026
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Chase County Hospital Imperial · Imperial, NE 11104 Punch Bx Of Skin; Single Lesion-clinic $276.00 $276.00 —
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Saint Elizabeth Regional Medical Center Lincoln · Lincoln, NE HC PUNCH BIOPSY SKIN SINGLE LESION $279.84 $583.00 Sep 30, 2026
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Callaway District Hospital Callaway · Callaway, NE 11104 Punch Biopsy Of Skin (Including Simple Closure, When Performed); Single Lesion $289.00 $321.00 —
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Valley County Hospital Ord · Ord, NE AMB PUNCH BIOPSY SINGLE $291.60 $324.00 Jun 15, 2026
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Mary Lanning Healthcare Hastings · Hastings, NE Punch biopsy, first skin growth $294.30 $327.00 Oct 14, 2026
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Phelps Memorial Health Center Holdrege · Holdrege, NE Punch biopsy, first skin growth $299.70 $333.00 Feb 16, 2026
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Tri Valley Health System Cambridge · Cambridge, NE Punch biopsy, first skin growth $302.40 $336.00 Oct 2, 2026
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Alegent Health Memorial Hospital, Schuyler Schuyler · Columbus, NE HC PUNCH BIOPSY SKIN SINGLE LESION $309.14 $377.00 Sep 30, 2026
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CHI Health Plainview Hospital Plainview · Norfolk, NE HC PUNCH BIOPSY SKIN SINGLE LESION $324.22 $377.00 Sep 30, 2026
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Banner Ogallala Community Hospital Ogallala · Ogallala, NE BX PUNCH SKIN LSN SGL $329.84 $620.00 Oct 13, 2026
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St Francis Memorial Hospital West Point · West Point, NE 11104 Punch Biopsy of Skin (including simple closure, when performed) Tech Fee $331.00 $331.00 Mar 18, 2026
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Saint Francis Medical Center Grand Island · Grand Island, NE HC PUNCH BIOPSY SKIN SINGLE LESION $352.80 $630.00 Sep 30, 2026
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Kimball County Hospital Kimball · Kimball, NE Punch biopsy, first skin growth $360.15 $360.15 Oct 12, 2026
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Good Samaritan Hospital Kearney · Kearney, NE HC PUNCH BIOPSY SKIN SINGLE LESION $365.40 $630.00 Sep 30, 2026
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Beatrice Community Hospital Beatrice · Beatrice, NE Hc Punch Biopsy Skin Single Lesion $385.00 $385.00 —
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St. Mary's Community Hospital Nebraska City · Nebraska City, NE HC PUNCH BIOPSY SKIN SINGLE LESION $508.40 $620.00 Sep 30, 2026
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Harlan County Health System Alma · Alma, NE Punch biopsy, first skin growth $567.01 $708.76 Oct 15, 2026
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Box Butte General Hospital Alliance · Alliance, NE PUNCH BX SKIN SINGLE LESION $656.00 $820.00 Aug 18, 2026
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Columbus Community Hospital Columbus · Columbus, NE PUNCH BIOPSY; FIRST SKIN GROWTH $816.05 $859.00 Mar 30, 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
Omaha, NE-IA 8 $44.25 $233.25
Columbus, NE 2 $309.14 $562.60
Grand Island, NE 2 $162.00 $257.40
Kearney, NE 2 $118.00 $241.70
Lexington, NE 2 $243.00 $248.50
Alliance, NE 1 $656.00 $656.00
Alma, NE 1 $567.01 $567.01
Atkinson, NE 1 $256.00 $256.00
Auburn, NE 1 $80.00 $80.00
Bassett, NE 1 $217.00 $217.00
Beatrice, NE 1 $385.00 $385.00
Callaway, NE 1 $289.00 $289.00
Cambridge, NE 1 $302.40 $302.40
Chadron, NE 1 $204.00 $204.00
Fremont, NE 1 $197.95 $197.95
Gordon, NE 1 $150.00 $150.00
Holdrege, NE 1 $299.70 $299.70
Hastings, NE 1 $294.30 $294.30
Imperial, NE 1 $276.00 $276.00
Kimball, NE 1 $360.15 $360.15
Lincoln, NE 1 $279.84 $279.84
McCook, NE 1 $240.98 $240.98
Nebraska City, NE 1 $508.40 $508.40
Norfolk, NE 1 $324.22 $324.22
Ogallala, NE 1 $329.84 $329.84
Ord, NE 1 $291.60 $291.60
Oshkosh, NE 1 $153.00 $153.00
Pawnee City, NE 1 $219.00 $219.00
Wayne, NE 1 $106.25 $106.25
West Point, NE 1 $331.00 $331.00
York, NE 1 $246.50 $246.50
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

Median cash price across the state's hospitals.