Punch skin biopsy cost in Virginia
In Virginia, 50 hospitals publish a cash price for skin biopsy, punch, one lesion: from $74.06 to $745.00, with a median of $311.40. The lowest price is at Dickenson Community Hospital (Clintwood) and 1 other hospital. The highest price is 10.1× the lowest.
- The median here, $311.40, is 21% below the US median of $393.50.
- That is 0.7× Medicare's 2026 national rate for the same service ($415.32).
- Virginia ranks 17th of 49 states by median, cheapest first.
- Every hospital here lists a cash price below its full list price.
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 Oct 29, 2026. See them on a map
Lowest$74.06Dickenson Community Hospital + 1 more
Median$311.40half of hospitals charge less
Highest$745.00in Virginia
Lowest saves$237.34vs the median
Hospitals in Virginia, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Dickenson Community Hospital lowest Clintwood · Clintwood, VA HC PUNCH BX SKIN SNGL LESION | $74.06 | $322.00 | Mar 23, 2026 source file |
| Lee County Community Hospital lowest Pennington Gap · Pennington Gap, VA HC PUNCH BX SKIN SNGL LESION | $74.06 | $322.00 | Mar 23, 2026 source file |
| Johnston Memorial Hospital Abingdon · Kingsport-Bristol, TN-VA HC PUNCH BX SKIN SNGL LESION | $75.45 | $503.00 | Mar 23, 2026 source file |
| Lonesome Pine Hospital Big Stone Gap · Big Stone Gap, VA HC PUNCH BX SKIN SNGL LESION | $75.45 | $503.00 | Mar 23, 2026 source file |
| Russell County Hospital Lebanon · Lebanon, VA HC PUNCH BX SKIN SNGL LESION | $75.45 | $503.00 | Mar 23, 2026 source file |
| Smyth County Community Hospital Marion · Marion, VA HC PUNCH BX SKIN SNGL LESION | $75.45 | $503.00 | Mar 23, 2026 source file |
| Children's Hospital of the King's Daughters Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC PUNCH BX SKIN SNGL | $81.59 | $90.66 | Mar 17, 2026 source file |
| Bon Secours Southern Virginia Medical Center Emporia · Emporia, VA HC Punch Biopsy Skin Single Lesion | $155.70 | $519.00 | Apr 1, 2026 source file |
| Bon Secours Southside Medical Center Petersburg · Richmond, VA HC Punch Biopsy Skin Single Lesion | $226.20 | $754.00 | Apr 1, 2026 source file |
| Bon Secours Southampton Memorial Hospital Franklin · Roanoke, VA HC Punch Biopsy Skin Single Lesion | $259.20 | $864.00 | Apr 1, 2026 source file |
| Fauquier Health Warrenton · Washington-Arlington-Alexandria, DC-VA-MD-WV Punch biopsy of skin (including simple closure, when performed); single lesion | $261.60 | $654.00 | Jul 14, 2026 source file |
| Rappahannock General Hospital Kilmarnock · Kilmarnock, VA HC Punch Biopsy Skin Single Lesion | $268.80 | $448.00 | Apr 1, 2026 source file |
| Mary Washington Hospital Fredericksburg · Washington-Arlington-Alexandria, DC-VA-MD-WV Punch bx skin single lesion | $296.00 | $592.00 | Dec 30, 2024 source file |
| Stafford Hospital Stafford · Washington-Arlington-Alexandria, DC-VA-MD-WV Punch bx skin single lesion | $296.00 | $592.00 | Dec 30, 2024 source file |
| Riverside Smithfield Hospital Smithfield · Virginia Beach-Chesapeake-Norfolk, VA-NC Punch Biopsy Skin Single Lesion | $297.63 | $595.25 | Mar 11, 2026 source file |
| Carilion Franklin Memorial Hospital Rocky Mt · Roanoke, VA HB PUNCH BX SKIN SINGLE LESION | $299.60 | $856.00 | Dec 15, 2025 source file |
| Carilion Giles Community Hospital Roanoke · Roanoke, VA HB PUNCH BX SKIN SINGLE LESION | $299.60 | $856.00 | Dec 15, 2025 source file |
| Carilion New River Valley Medical Center Christiansburg · Blacksburg-Christiansburg-Radford, VA HB PUNCH BX SKIN SINGLE LESION | $299.60 | $856.00 | Dec 15, 2025 source file |
| Carilion Roanoke Community Hospital Roanoke · Roanoke, VA HB PUNCH BX SKIN SINGLE LESION | $299.60 | $856.00 | Dec 15, 2025 source file |
| Carilion Roanoke Memorial Hospital Roanoke · Roanoke, VA HB PUNCH BX SKIN SINGLE LESION | $299.60 | $856.00 | Apr 17, 2026 source file |
| Carilion Rockbridge Community Hospital Lexington · Lexington, VA HB PUNCH BX SKIN SINGLE LESION | $299.60 | $856.00 | Dec 15, 2025 source file |
| Wythe County Community Hospital Wytheville · Wytheville, VA Punch biopsy of skin (including simple closure, when performed); single lesion | $307.58 | $768.95 | Jul 10, 2026 source file |
| Bath Community Hospital Hot Springs · Hot Springs, VA BIOPSY PUNCH SKIN | $307.64 | $439.48 | Mar 25, 2026 source file |
| Bon Secours Memorial Regional Medical Center Mechanicsville · Richmond, VA HC Punch Biopsy Skin Single Lesion | $311.40 | $519.00 | Apr 1, 2026 source file |
| Bon Secours Richmond Community Hospital Richmond · Richmond, VA HC Punch Biopsy Skin Single Lesion | $311.40 | $519.00 | Apr 1, 2026 source file |
| Bon Secours St Francis Medical Center Midlothian · Richmond, VA HC Punch Biopsy Skin Single Lesion | $311.40 | $519.00 | Apr 1, 2026 source file |
| Bon Secours St Marys Hospital of Richmond Richmond · Richmond, VA HC Punch Biopsy Skin Single Lesion | $311.40 | $519.00 | Apr 1, 2026 source file |
| Sentara Martha Jefferson Hospital Charlottesville · Charlottesville, VA Punch Bx Skin Single Lesion | $367.50 | $735.00 | Apr 1, 2026 source file |
| Sentara RMH Medical Center Harrisonburg · Harrisonburg, VA Punch Bx Skin Single Lesion | $367.50 | $735.00 | Apr 1, 2026 source file |
| Twin County Regional Healthcare Galax · Galax, VA Punch biopsy of skin (including simple closure, when performed); single lesion | $385.36 | $963.39 | Jul 10, 2026 source file |
| Hospital for Extended Recovery Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC 11104 Punch Bx Skin Single Les | $393.50 | $787.00 | Apr 1, 2026 source file |
| Sentara Careplex Hospital Hampton · Virginia Beach-Chesapeake-Norfolk, VA-NC Punch Bx Skin Single Lesion | $393.50 | $787.00 | Apr 1, 2026 source file |
| Sentara Leigh Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC Punch Bx Skin Single Lesion | $393.50 | $787.00 | Apr 1, 2026 source file |
| Sentara Norfolk General Hospital Norfolk · Virginia Beach-Chesapeake-Norfolk, VA-NC 11104 Punch Bx Skin Single Les | $393.50 | $787.00 | Apr 1, 2026 source file |
| Sentara Northern Virginia Medical Center Woodbridge · Washington-Arlington-Alexandria, DC-VA-MD-WV Punch Bx Skin Single Lesion | $393.50 | $787.00 | Apr 1, 2026 source file |
| Sentara Obici Hospital Suffolk · Suffolk, VA 11104 Punch Bx Skin Single Les | $393.50 | $787.00 | Apr 1, 2026 source file |
| Sentara Princess Anne Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC 11104 Punch Bx Skin Single Les | $393.50 | $787.00 | Apr 1, 2026 source file |
| Sentara Virginia Beach General Hospital Virginia Beach · Virginia Beach-Chesapeake-Norfolk, VA-NC 11104 Punch Bx Skin Single Les | $393.50 | $787.00 | Apr 1, 2026 source file |
| Inova Alexandria Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC BX SKIN PUNCH SGL LES | $436.00 | $872.00 | Apr 1, 2026 source file |
| Inova Fair Oaks Hospital Fairfax · Washington-Arlington-Alexandria, DC-VA-MD-WV HC BX SKIN PUNCH SGL LES | $436.00 | $872.00 | Apr 1, 2026 source file |
| Inova Fairfax Hospital Falls Church · Washington-Arlington-Alexandria, DC-VA-MD-WV HC BX SKIN PUNCH SGL LES | $436.00 | $872.00 | Apr 1, 2026 source file |
| Inova Loudoun Hospital Leesburg · Washington-Arlington-Alexandria, DC-VA-MD-WV HC BX SKIN PUNCH SGL LES | $436.00 | $872.00 | Apr 1, 2026 source file |
| Inova Mount Vernon Hospital Alexandria · Washington-Arlington-Alexandria, DC-VA-MD-WV HC BX SKIN PUNCH SGL LES | $436.00 | $872.00 | Apr 1, 2026 source file |
| Bon Secours Harbour View Medical Center Suffolk · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Punch Biopsy Skin Single Lesion | $448.80 | $748.00 | Apr 1, 2026 source file |
| Bon Secours Maryview Medical Center Portsmouth · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Punch Biopsy Skin Single Lesion | $448.80 | $748.00 | Apr 1, 2026 source file |
| Mary Immaculate Hospital Newport News · Virginia Beach-Chesapeake-Norfolk, VA-NC HC Punch Biopsy Skin Single Lesion | $448.80 | $748.00 | Apr 1, 2026 source file |
| Sentara Halifax Regional Hospital South Boston · South Boston, VA Punch Bx Skin Single Lesion | $513.50 | $1,027.00 | Apr 1, 2026 source file |
| Sovah Health - Danville Danville · Danville, VA Punch biopsy of skin (including simple closure, when performed); single lesion | $536.00 | $1,340.00 | Jul 11, 2026 source file |
| Chesapeake General Hospital Chesapeake · Virginia Beach-Chesapeake-Norfolk, VA-NC Hc Punch Biopsy Skin Single Lesion | $550.38 | $917.30 | Jul 1, 2026 source file |
| Augusta Health Fishersville · Staunton-Stuarts Draft, VA Punch Bx Of Skin Single Lesion | $745.00 | $1,490.00 | 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
By metro area
Each metro page compares every listing, including prices for both sides of the body.
| Metro area | Hospitals | Lowest | Median |
|---|---|---|---|
| Virginia Beach-Chesapeake-Norfolk, VA-NC | 12 | $81.59 | $393.50 |
| Washington-Arlington-Alexandria, DC-VA-MD-WV | 9 | $261.60 | $436.00 |
| Richmond, VA | 5 | $226.20 | $311.40 |
| Roanoke, VA | 5 | $259.20 | $299.60 |
| Big Stone Gap, VA | 1 | $75.45 | $75.45 |
| Blacksburg-Christiansburg-Radford, VA | 1 | $299.60 | $299.60 |
| Clintwood, VA | 1 | $74.06 | $74.06 |
| Charlottesville, VA | 1 | $367.50 | $367.50 |
| Danville, VA | 1 | $536.00 | $536.00 |
| Emporia, VA | 1 | $155.70 | $155.70 |
| Galax, VA | 1 | $385.36 | $385.36 |
| Hot Springs, VA | 1 | $307.64 | $307.64 |
| Harrisonburg, VA | 1 | $367.50 | $367.50 |
| Kilmarnock, VA | 1 | $268.80 | $268.80 |
| Kingsport-Bristol, TN-VA | 1 | $75.45 | $75.45 |
| Lebanon, VA | 1 | $75.45 | $75.45 |
| Lexington, VA | 1 | $299.60 | $299.60 |
| Marion, VA | 1 | $75.45 | $75.45 |
| Pennington Gap, VA | 1 | $74.06 | $74.06 |
| South Boston, VA | 1 | $513.50 | $513.50 |
| Suffolk, VA | 1 | $393.50 | $393.50 |
| Staunton-Stuarts Draft, VA | 1 | $745.00 | $745.00 |
| Wytheville, VA | 1 | $307.58 | $307.58 |
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
- 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
- Washington$336.96
- West Virginia$384.25
- Wisconsin$240.00
- Wyoming$260.10
Median cash price across the state's hospitals.