Punch skin biopsy cost in North Dakota
In North Dakota, 24 hospitals publish a cash price for skin biopsy, punch, one lesion: from $48.40 to $1,086.07, with a median of $339.50. The lowest price is at Lisbon Area Health Services (Lisbon) and 1 other hospital. The highest price is 22.4× the lowest.
- The median here, $339.50, is 14% below the US median of $393.50.
- That is 0.8× Medicare's 2026 national rate for the same service ($415.32).
- North Dakota ranks 23rd of 49 states by median, cheapest first.
- 4 of 24 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 11, 2026. See them on a map
Lowest$48.40Lisbon Area Health Services + 1 more
Median$339.50half of hospitals charge less
Highest$1,086.07in North Dakota
Lowest saves$291.10vs the median
Hospitals in North Dakota, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Lisbon Area Health Services lowest Lisbon · Lisbon, ND BX SKIN PUNCH SINGLE LES FAC | $48.40 | $88.00 | Sep 30, 2026 source file |
| Mercy Medical Center lowest Williston · Williston, ND PUNCH BX SKIN SNG LES FPC FAC | $48.40 | $88.00 | Sep 30, 2026 source file |
| Mercy Hospital of Valley City Valley City · Valley City, ND BX SKIN PUNCH SINGLE LES FAC | $51.04 | $88.00 | Sep 30, 2026 source file |
| Carrington Health Center Carrington · Carrington, ND BX SKIN PUNCH SINGLE LES FAC | $51.92 | $88.00 | Sep 30, 2026 source file |
| St Joseph's Hospital and Health Center Dickinson · Dickinson, ND BX SKIN PUNCH SING LES FPC FAC | $51.92 | $88.00 | Sep 30, 2026 source file |
| CHI St Alexius Health Turtle Lake Turtle Lake · Turtle Lake, ND HC PUNCH BIOPSY SKIN SINGLE LESION | $159.80 | $235.00 | Sep 30, 2026 source file |
| Southwest Healthcare Services Bowman · Bowman, ND PUNCH BIOPSY SKIN SINGLE LESION 11104 | $226.80 | $252.00 | Oct 16, 2025 source file |
| CHI St Alexius Health Bismarck · Bismarck, ND HC PUNCH BIOPSY SKIN SINGLE LESION | $255.50 | $511.00 | Sep 30, 2026 source file |
| Northwood Deaconess Health Center Northwood · Grand Forks, ND-MN PR PUNCH BIOPSY SKIN SINGLE LESION | $262.00 | $328.00 | Jul 16, 2026 source file |
| Ashley Medical Center Ashley · Ashley, ND PUNCH BIOPSY SINGLE LESION | $309.00 | $309.00 | Oct 9, 2026 source file |
| McKenzie County Healthcare System Watford City · Watford City, ND PUNCH BIOPSY OF SKIN; SINGLE LESION | $327.60 | $504.00 | May 1, 2026 source file |
| SMP Health - St. Aloisius Harvey · Harvey, ND 11104 Punch Biopsy Of Skin (Including Simple Closure, When Performed); Single Lesion | $331.00 | $368.00 | — source file |
| Essentia Health Fargo Fargo · Fargo, ND-MN PUNCH BIOPSY OF SKIN (INCLUDING SIMPLE CLOSURE, WHEN PERFORMED); SINGLE LESION | $348.00 | $464.00 | Jan 1, 2026 source file |
| Towner County Medical Center Cando · Cando, ND Hc Punch Bx Sngl Skin Lesion | $360.00 | $360.00 | — source file |
| Tioga Medical Center Tioga · Williston, ND Punch Biopsy Skin Single Lesion | $404.00 | $404.00 | — source file |
| Kenmare Community Hospital Kenmare · Minot, ND PUNCH BX SKIN SINGLE LESION | $410.40 | $513.00 | Apr 1, 2026 source file |
| Trinity Hospitals Minot · Minot, ND PUNCH BX SKIN SINGLE LESION | $410.40 | $513.00 | Apr 1, 2026 source file |
| Sanford Medical Center Bismarck Bismarck · Bismarck, ND TX RM 11104 PUNCH BX SKIN SINGLE LESION | $436.00 | $545.00 | Mar 4, 2026 source file |
| Altru Hospital Grand Forks · Grand Forks, ND-MN HC PUNCH BX SNGL SKIN LESION | $437.98 | $718.00 | Mar 1, 2026 source file |
| Altru Hospital Devils Lake Devils Lake · Devils Lake, ND HC PUNCH BX SNGL SKIN LESION | $437.98 | $718.00 | Mar 1, 2026 source file |
| Sanford Fargo Medical Center Fargo · Fargo, ND-MN SURG 11104 PUNCH BIOPSY SKIN SINGLE LESION | $488.80 | $611.00 | Mar 4, 2026 source file |
| Jacobson Memorial Hospital Care Center Elgin · Elgin, ND TX RM 11104 PUNCH BX SKIN SINGLE LESION | $517.50 | $690.00 | Mar 1, 2026 source file |
| Heart of America Medical Center Rugby · Rugby, ND HC PUNCH BX SNGL SKIN LESION | $594.75 | $793.00 | Mar 31, 2026 source file |
| St. Luke's Hospital Crosby · Crosby, ND HC PUNCH BX SNGL SKIN LESION | $1,086.07 | $1,086.07 | Oct 6, 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 |
|---|---|---|---|
| Bismarck, ND | 2 | $255.50 | $345.75 |
| Fargo, ND-MN | 2 | $348.00 | $418.40 |
| Grand Forks, ND-MN | 2 | $262.00 | $349.99 |
| Minot, ND | 2 | $410.40 | $410.40 |
| Williston, ND | 2 | $48.40 | $226.20 |
| Ashley, ND | 1 | $309.00 | $309.00 |
| Bowman, ND | 1 | $226.80 | $226.80 |
| Cando, ND | 1 | $360.00 | $360.00 |
| Carrington, ND | 1 | $51.92 | $51.92 |
| Crosby, ND | 1 | $1,086.07 | $1,086.07 |
| Devils Lake, ND | 1 | $437.98 | $437.98 |
| Dickinson, ND | 1 | $51.92 | $51.92 |
| Elgin, ND | 1 | $517.50 | $517.50 |
| Harvey, ND | 1 | $331.00 | $331.00 |
| Lisbon, ND | 1 | $48.40 | $48.40 |
| Rugby, ND | 1 | $594.75 | $594.75 |
| Turtle Lake, ND | 1 | $159.80 | $159.80 |
| Valley City, ND | 1 | $51.04 | $51.04 |
| Watford City, ND | 1 | $327.60 | $327.60 |
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
- 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
- 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.