Punch skin biopsy cost in Washington
In Washington, 52 hospitals publish a cash price for skin biopsy, punch, one lesion: from $82.85 to $887.60, with a median of $336.96. The lowest price is at Snoqualmie Valley Hospital (Snoqualmie). The highest price is 10.7× the lowest.
- The median here, $336.96, is 14% below the US median of $393.50.
- That is 0.8× Medicare's 2026 national rate for the same service ($415.32).
- Washington ranks 21st of 49 states by median, cheapest first.
- 4 of 52 hospitals list a cash price equal to their full list price, with no self-pay discount.
Washington law (RCW 70.170.060) requires hospital charity care: patients with family income up to 300% of the federal poverty level owe nothing at hospitals in large health systems (200% at other hospitals), with 75% and 50% discounts up to 400% (300% at other hospitals). It covers the part of the bill a patient owes, insured or not. Ask the hospital for its charity care application. Other states' laws.
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$82.85Snoqualmie Valley Hospital
Median$336.96half of hospitals charge less
Highest$887.60in Washington
Lowest saves$254.11vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| Snoqualmie Valley Hospital lowest Snoqualmie · Seattle-Tacoma-Bellevue, WA Facility Fee HC PUNCH BX SKIN, SGL LES | $82.85 | $142.84 | Apr 14, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC PR 11104 PUNCH BIOPSY SKIN SINGLE LESION | $86.80 | $124.00 | Apr 1, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC PR 11104 PUNCH BIOPSY SKIN SINGLE LESION RHC | $98.25 | $131.00 | Oct 23, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Punch biopsy, first skin growth | $104.55 | $123.00 | Oct 7, 2026 source file |
| Whitman Hospital and Medical Center Colfax · Pullman, WA Punch biopsy, first skin growth | $105.60 | $132.00 | Jun 29, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA BX PUNCH SKIN 1 LESION | $112.17 | $131.96 | Sep 14, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC PR 11104 PUNCH BIOPSY SKIN SINGLE LESION | $148.40 | $212.00 | Apr 1, 2026 source file |
| PeaceHealth Peace Island Medical Center Friday Harbor · Friday Harbor, WA PUNCH BIOPSY; FIRST SKIN GROWTH | $160.55 | $247.00 | Mar 20, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC PR 11104 PUNCH BIOPSY SKIN SINGLE LESION RHC | $185.90 | $338.00 | Jan 1, 2025 source file |
| Willapa Harbor Hospital South Bend · South Bend, WA PUNCH BX SKIN SINGLE LESION | $229.60 | $328.00 | Feb 24, 2026 source file |
| Mason General Hospital & Family of Clinics Shelton · Shelton, WA 11104 Punch biopsy of skin (including simple closure, when performed); single lesion | $239.57 | $319.43 | Mar 10, 2026 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Punch biopsy, first skin growth | $254.82 | $411.00 | May 18, 2026 source file |
| Klickitat Valley Hospital Goldendale · Goldendale, WA Bx Skin Punch 1st Lesion RHC | $264.00 | $330.00 | Dec 2, 2024 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA PUNCH BX SKIN SINGLE LESION - FAC | $269.28 | $528.00 | Jan 1, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Punch bx skin single lesion | $272.00 | $340.00 | May 15, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc Punch Bx Skin, Sgl Les | $277.50 | $555.00 | Apr 1, 2026 source file |
| PeaceHealth St John Medical Center Longview · Longview-Kelso, WA PUNCH BX SKIN SINGLE LESION | $280.15 | $431.00 | Mar 21, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC PUNCH BX SKIN SINGLE LES | $296.39 | $1,027.68 | Sep 30, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA HC PR 11104 Punch Biopsy Skin Single Lesion Rhc | $303.00 | $303.00 | Jan 4, 2026 source file |
| Astria Sunnyside Hospital Sunnyside · Kennewick-Richland, WA 11104 Punch biopsy of skin single lesion | $304.95 | $535.00 | Apr 1, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC PUNCH BX SKIN SINGLE LES | $312.52 | $1,027.68 | Sep 30, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC PUNCH BX SKIN SINGLE LES | $312.83 | $1,027.68 | Sep 30, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Punch biopsy, first skin growth | $315.35 | $371.00 | Jun 9, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC PUNCH BX SKIN SINGLE LES | $316.02 | $1,027.68 | Sep 30, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Punch biopsy, first skin growth | $332.80 | $416.00 | Aug 6, 2026 source file |
| Swedish Issaquah Issaquah · Seattle-Tacoma-Bellevue, WA HC PUNCH BIOPSY SKIN SINGLE LESION | $336.96 | $702.00 | Apr 1, 2026 source file |
| Swedish Medical Center Seattle · Seattle-Tacoma-Bellevue, WA HC PUNCH BIOPSY SKIN SINGLE LESION | $336.96 | $702.00 | Apr 1, 2026 source file |
| Swedish Medical Center / Cherry Hill Seattle · Seattle-Tacoma-Bellevue, WA HC PUNCH BIOPSY SKIN SINGLE LESION | $336.96 | $702.00 | Apr 1, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA 11104 Punch Biopsy of skin, single | $340.60 | $524.00 | Apr 1, 2026 source file |
| Cascade Valley Hospital Arlington · Seattle-Tacoma-Bellevue, WA HC PUNCH BIOPSY SKIN SINGLE LESION | $340.80 | $426.00 | Mar 26, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Punch biopsy, first skin growth | $346.40 | $433.00 | Oct 27, 2026 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC PUNCH BX SKIN SINGLE LES | $358.28 | $1,081.77 | Feb 28, 2026 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA HC PUNCH BX SKIN SINGLE LES | $377.37 | $1,027.68 | Sep 30, 2026 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC PUNCH BIOPSY SKIN SINGLE LESION | $384.30 | $549.00 | Apr 1, 2026 source file |
| Quincy Valley Medical Center Quincy · Moses Lake, WA Punch biopsy, first skin growth | $385.40 | $385.40 | May 27, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Punch Bx Skin Single Lesion --Pbb | $449.10 | $499.00 | Aug 10, 2026 source file |
| St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC PUNCH BX SKIN SINGLE LES | $477.44 | $1,081.77 | Feb 28, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC PUNCH BIOPSY SKIN SINGLE LESION | $483.20 | $604.00 | Mar 26, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC PUNCH BIOPSY SKIN SINGLE LESION | $503.30 | $719.00 | Apr 1, 2026 source file |
| Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM | $557.90 | $797.00 | Apr 1, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC PUNCH BIOPSY SINGLE LESION | $563.55 | $867.00 | Apr 1, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA PUNCH BIOPSY; FIRST SKIN GROWTH | $566.15 | $871.00 | Mar 20, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Punch Biopsy of Skin; Single Lesion | $568.80 | $568.80 | Mar 31, 2026 source file |
| Providence Centralia Hospital Centralia · Centralia, WA HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM | $605.28 | $1,164.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM | $605.28 | $1,164.00 | Apr 1, 2026 source file |
| PeaceHealth United General Medical Center Sedro Woolley · Mount Vernon-Anacortes, WA PUNCH BX SKIN SINGLE LESION | $621.40 | $956.00 | Mar 21, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Punch biopsy, first skin growth | $663.20 | $829.00 | Jun 24, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC ED PUNCH BIOPSY SKIN SINGLE LESION CDM | $676.90 | $967.00 | Apr 1, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA PUNCH BX SKIN SINGLE LESION | $719.55 | $1,107.00 | Mar 21, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC PUNCH BIOPSY SKIN SINGLE LESION | $786.24 | $1,512.00 | Apr 1, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Punch biopsy, first skin growth | $803.14 | $803.14 | Sep 1, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Punch Biopsy Skin Single Lesion | $887.60 | $1,268.00 | Mar 12, 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 |
|---|---|---|---|
| Seattle-Tacoma-Bellevue, WA | 16 | $82.85 | $336.96 |
| Spokane-Spokane Valley, WA | 4 | $148.40 | $530.60 |
| Kennewick-Richland, WA | 3 | $185.90 | $304.95 |
| Wenatchee-East Wenatchee, WA | 3 | $272.00 | $449.10 |
| Centralia, WA | 2 | $254.82 | $430.05 |
| Moses Lake, WA | 2 | $303.00 | $344.20 |
| Mount Vernon-Anacortes, WA | 2 | $483.20 | $552.30 |
| Port Townsend, WA | 2 | $332.80 | $339.60 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $563.55 | $564.85 |
| Pullman, WA | 2 | $105.60 | $210.48 |
| Bellingham, WA | 1 | $719.55 | $719.55 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $477.44 | $477.44 |
| Ellensburg, WA | 1 | $104.55 | $104.55 |
| Friday Harbor, WA | 1 | $160.55 | $160.55 |
| Goldendale, WA | 1 | $264.00 | $264.00 |
| Ilwaco, WA | 1 | $98.25 | $98.25 |
| Longview-Kelso, WA | 1 | $280.15 | $280.15 |
| Olympia-Lacey-Tumwater, WA | 1 | $605.28 | $605.28 |
| Port Angeles, WA | 1 | $663.20 | $663.20 |
| Republic, WA | 1 | $112.17 | $112.17 |
| South Bend, WA | 1 | $229.60 | $229.60 |
| Shelton, WA | 1 | $239.57 | $239.57 |
| Walla Walla, WA | 1 | $86.80 | $86.80 |
| Yakima, WA | 1 | $340.60 | $340.60 |
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
- 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
- West Virginia$384.25
- Wisconsin$240.00
- Wyoming$260.10
Median cash price across the state's hospitals.