Precancerous spot removal cost in Washington
In Washington, 43 hospitals publish a cash price for destruction of a precancerous skin lesion (actinic keratosis), first lesion: from $57.20 to $966.83, with a median of $185.30. The lowest price is at PeaceHealth Peace Island Medical Center (Friday Harbor). The highest price is 16.9× the lowest.
- The median here, $185.30, is about the same as the US median of $184.50.
- That is 0.9× Medicare's 2026 national rate for the same service ($204.98).
- Washington ranks 26th of 46 states by median, cheapest first.
- 4 of 43 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 17000. Prices for both sides of the body and inpatient prices are not mixed in. Collected Nov 11, 2026. See them on a map
Lowest$57.20PeaceHealth Peace Island Medical Center
Median$185.30half of hospitals charge less
Highest$966.83in Washington
Lowest saves$128.10vs the median
Hospitals in Washington, cheapest first
| Hospital | Cash price | List price | File date |
|---|---|---|---|
| PeaceHealth Peace Island Medical Center lowest Friday Harbor · Friday Harbor, WA DESTRUCTION OF PRECANCER SKIN GROWTH; 1 GROWTH | $57.20 | $88.00 | Mar 20, 2026 source file |
| PeaceHealth St Joseph Medical Center Bellingham · Bellingham, WA DESTRUCTION OF PRECANCER SKIN GROWTH; 1 GROWTH | $97.50 | $150.00 | Mar 21, 2026 source file |
| Summit Pacific Medical Center Elma · Aberdeen, WA Destruction of precancer skin growth, 1 growth | $115.56 | $214.00 | Aug 31, 2026 source file |
| Valley Medical Center Renton · Seattle-Tacoma-Bellevue, WA Destruction Premalignant Lesion 1st | $122.50 | $175.00 | Mar 12, 2026 source file |
| Arbor Health Morton Hospital Morton · Centralia, WA Destruction of precancer skin growth, 1 growth | $124.62 | $201.00 | May 18, 2026 source file |
| Astria Toppenish Hospital Toppenish · Yakima, WA 17000 Destruction, premalignant, first lesion; any | $124.80 | $192.00 | Apr 1, 2026 source file |
| Saint Clare Hospital Lakewood · Seattle-Tacoma-Bellevue, WA HC DESTR BENIGN SKIN LES 1ST | $128.53 | $445.66 | Sep 30, 2026 source file |
| St Anthony Hospital Gig Harbor · Seattle-Tacoma-Bellevue, WA HC DESTR BENIGN SKIN LES 1ST | $135.53 | $445.66 | Sep 30, 2026 source file |
| Highline Medical Center Burien · Seattle-Tacoma-Bellevue, WA HC DESTR BENIGN SKIN LES 1ST | $135.66 | $445.66 | Sep 30, 2026 source file |
| St Francis Community Hospital Federal Way · Seattle-Tacoma-Bellevue, WA HC DESTR BENIGN SKIN LES 1ST | $137.05 | $445.66 | Sep 30, 2026 source file |
| Ferry County Memorial Hospital Republic · Republic, WA DESTRUCT PREMALIGNANT 1 LESION | $137.27 | $161.49 | Sep 14, 2026 source file |
| Prosser Memorial Health Hospital Prosser · Kennewick-Richland, WA HC PR 17000 DESTRUCTION PREMALIGNANT LESION 1ST RHC | $140.25 | $255.00 | Jan 1, 2025 source file |
| St Joseph Medical Center Tacoma · Seattle-Tacoma-Bellevue, WA HC DESTR BENIGN SKIN LES 1ST | $147.61 | $445.66 | Feb 28, 2026 source file |
| Overlake Medical Center & Clinics Bellevue · Seattle-Tacoma-Bellevue, WA Hc Destruct Premalig Lesion 1St | $156.50 | $313.00 | Apr 1, 2026 source file |
| St Elizabeth Hospital Enumclaw · Seattle-Tacoma-Bellevue, WA HC DESTR BENIGN SKIN LES 1ST | $163.65 | $445.66 | Sep 30, 2026 source file |
| Klickitat Valley Hospital Goldendale · Goldendale, WA Destruction Single Lesion RHC | $172.00 | $215.00 | Dec 2, 2024 source file |
| Kadlec Regional Medical Center Richland · Kennewick-Richland, WA HC ED DESTRUCT PREMALG LESION FIRST LESION CDM | $172.20 | $246.00 | Apr 1, 2026 source file |
| Providence St Mary Medical Center Walla Walla · Walla Walla, WA HC ED DESTRUCT PREMALG LESION FIRST LESION CDM | $175.00 | $250.00 | Apr 1, 2026 source file |
| PeaceHealth Southwest Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA DESTRUCT PREMALG LESION | $175.50 | $270.00 | Mar 20, 2026 source file |
| Skagit Valley Hospital Mount Vernon · Mount Vernon-Anacortes, WA HC DESTRUCTION OF AK'S, 1ST ONE | $178.40 | $223.00 | Mar 26, 2026 source file |
| Kittitas County Public Hospital Dist 1 Ellensburg · Ellensburg, WA Destruction of precancer skin growth, 1 growth | $178.50 | $210.00 | Oct 7, 2026 source file |
| Pullman Regional Hospital Pullman · Pullman, WA Destruction of precancer skin growth, 1 growth | $185.30 | $218.00 | Jun 9, 2026 source file |
| Willapa Harbor Hospital South Bend · South Bend, WA DESTRUCTION OF PRECANCER SKIN GROWTH; 1 GROWTH | $194.60 | $278.00 | Feb 24, 2026 source file |
| St. Michael Medical Center Silverdale · Bremerton-Silverdale-Port Orchard, WA HC DESTR BENIGN SKIN LES 1ST | $196.70 | $445.66 | Feb 28, 2026 source file |
| Forks Community Hospital Forks · Port Townsend, WA Destruction of precancer skin growth, 1 growth | $198.40 | $248.00 | Oct 27, 2026 source file |
| Cascade Medical Center Leavenworth · Wenatchee-East Wenatchee, WA Destruct premalg lesion | $207.20 | $259.00 | May 15, 2026 source file |
| Samaritan Hospital Moses Lake · Moses Lake, WA HC PR 17000 Destruction Premalignant Lesion 1st Rhc | $212.00 | $212.00 | Jan 4, 2026 source file |
| Confluence Health Hospital Wenatchee · Wenatchee-East Wenatchee, WA HC Destruc Premalignant, First Lesion--Pbb | $223.20 | $248.00 | Aug 10, 2026 source file |
| Ocean Beach Hospital Ilwaco · Ilwaco, WA HC ED DESTRUCT PREMALG LESION FIRST LESION CDM | $229.50 | $306.00 | Oct 23, 2026 source file |
| Lake Chelan Community Hospital Chelan · Wenatchee-East Wenatchee, WA Destruction of precancer skin growth, 1 growth | $250.27 | $250.27 | Sep 1, 2026 source file |
| Virginia Mason Medical Center Seattle · Seattle-Tacoma-Bellevue, WA DESTRUCTION, PREMALIGNANT LESIONS, FIRST LESION | $254.49 | $499.00 | Jan 1, 2026 source file |
| Providence St Joseph Hospital Chewelah · Spokane-Spokane Valley, WA HC ED DESTRUCT PREMALG LESION FIRST LESION CDM | $269.50 | $385.00 | Apr 1, 2026 source file |
| Legacy Salmon Creek Medical Center Vancouver · Portland-Vancouver-Hillsboro, OR-WA HC DESTROY BENIGN/PREMALIG LESION FIRS | $308.10 | $474.00 | Apr 1, 2026 source file |
| Providence Mount Carmel Hospital Colville · Spokane-Spokane Valley, WA HC ED DESTRUCT PREMALG LESION FIRST LESION CDM | $315.70 | $451.00 | Apr 1, 2026 source file |
| Olympic Medical Center Port Angeles · Port Angeles, WA Destruction of precancer skin growth, 1 growth | $321.60 | $402.00 | Jun 24, 2026 source file |
| Seattle Children's Hospital Seattle · Seattle-Tacoma-Bellevue, WA Destruction Premalignant 1st Lesion | $328.80 | $328.80 | Mar 31, 2026 source file |
| Providence Regional Medical Center Everett Everett · Seattle-Tacoma-Bellevue, WA HC ED DESTRUCT PREMALG LESION FIRST LESION CDM | $360.88 | $694.00 | Apr 1, 2026 source file |
| Providence Centralia Hospital Centralia · Centralia, WA HC ED DESTRUCT PREMALG LESION FIRST LESION CDM | $417.04 | $802.00 | Apr 1, 2026 source file |
| Providence St Peter Hospital Olympia · Olympia-Lacey-Tumwater, WA HC ED DESTRUCT PREMALG LESION FIRST LESION CDM | $417.04 | $802.00 | Apr 1, 2026 source file |
| Prov Sacred Hrt Medical Center & Childs Hospital Spokane · Spokane-Spokane Valley, WA HC ED DESTRUCT PREMALG LESION FIRST LESION CDM | $427.70 | $611.00 | Apr 1, 2026 source file |
| Providence Holy Family Hospital Spokane · Spokane-Spokane Valley, WA HC ED DESTRUCT PREMALG LESION FIRST LESION CDM | $448.00 | $640.00 | Apr 1, 2026 source file |
| Jefferson Healthcare Port Townsend · Port Townsend, WA Destruction of precancer skin growth, 1 growth | $457.60 | $572.00 | Aug 6, 2026 source file |
| Shriners Childrens - Spokane Spokane · Spokane-Spokane Valley, WA DESTRUCT PREMALG LESION | $966.83 | $966.83 | Mar 18, 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 | 11 | $122.50 | $147.61 |
| Spokane-Spokane Valley, WA | 5 | $269.50 | $427.70 |
| Wenatchee-East Wenatchee, WA | 3 | $207.20 | $223.20 |
| Centralia, WA | 2 | $124.62 | $270.83 |
| Kennewick-Richland, WA | 2 | $140.25 | $156.22 |
| Port Townsend, WA | 2 | $198.40 | $328.00 |
| Portland-Vancouver-Hillsboro, OR-WA | 2 | $175.50 | $241.80 |
| Aberdeen, WA | 1 | $115.56 | $115.56 |
| Bellingham, WA | 1 | $97.50 | $97.50 |
| Bremerton-Silverdale-Port Orchard, WA | 1 | $196.70 | $196.70 |
| Ellensburg, WA | 1 | $178.50 | $178.50 |
| Friday Harbor, WA | 1 | $57.20 | $57.20 |
| Goldendale, WA | 1 | $172.00 | $172.00 |
| Ilwaco, WA | 1 | $229.50 | $229.50 |
| Moses Lake, WA | 1 | $212.00 | $212.00 |
| Mount Vernon-Anacortes, WA | 1 | $178.40 | $178.40 |
| Olympia-Lacey-Tumwater, WA | 1 | $417.04 | $417.04 |
| Port Angeles, WA | 1 | $321.60 | $321.60 |
| Pullman, WA | 1 | $185.30 | $185.30 |
| Republic, WA | 1 | $137.27 | $137.27 |
| South Bend, WA | 1 | $194.60 | $194.60 |
| Walla Walla, WA | 1 | $175.00 | $175.00 |
| Yakima, WA | 1 | $124.80 | $124.80 |
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 precancerous spot removal is, what the price covers and why prices differ: Precancerous spot removal explained.
Destruction of a precancerous skin lesion (actinic keratosis), first lesion in other states
- Alabama$237.36
- Alaska$203.42
- Arizona$191.38, 4 hospitals
- Arkansas$147.55
- California$320.00
- Colorado$168.00
- Connecticut$229.50
- Delaware$362.48, 2 hospitals
- District of Columbia$294.76, 3 hospitals
- Florida$284.25
- Georgia$142.20
- Hawaii$380.10
- Idaho$114.19
- Illinois$164.21
- Indiana$186.60
- Iowa$148.20
- Kansas$116.45
- Kentucky$104.00
- Louisiana$97.30
- Maine$101.40
- Maryland$261.98, 4 hospitals
- Massachusetts$273.00
- Michigan$191.83
- Minnesota$180.84
- Mississippi$125.70
- Missouri$137.80
- Montana$172.14
- Nebraska$130.72
- Nevada$218.00
- New Hampshire$72.92
- New Jersey$424.00
- New Mexico$128.40
- New York$290.00
- North Carolina$247.80
- North Dakota$198.50
- Ohio$202.40
- Oklahoma$100.00
- Oregon$164.35
- Pennsylvania$428.04
- Puerto Rico$2,500.00, 1 hospital
- Rhode Island$191.80
- South Carolina$154.00
- South Dakota$242.40
- Tennessee$99.60
- Texas$198.33
- Utah$191.83, 3 hospitals
- Vermont$82.97
- Virginia$120.00
- West Virginia$207.25
- Wisconsin$180.06
- Wyoming$64.98
Median cash price across the state's hospitals.