CPT 11105 Surgery - Integumentary
Punch bx skin ea sep/addl Cost
Body System: Integumentary
Medicare Facility Rate
$21
CMS PFS CY2026
Medicare Non-Facility Rate
$60
Office/clinic setting
Relative Value Units (RVUs)
Medicare payment = Total RVU × Conversion Factor ($33.40 for CY 2026)
0.44
Work RVU
0.13
Facility PE RVU
0.07
Malpractice RVU
1.81
Total RVU
Frequently Asked Questions
How much does Punch bx skin ea sep/addl cost?
The Medicare facility rate is $21. Commercial insurance typically pays 150-250% of Medicare rates (varies).
How much does Punch bx skin ea sep/addl cost without insurance?
Without insurance, you may pay the hospital's chargemaster rate, which is often 300-500% of Medicare. Ask about cash-pay discounts — many facilities offer 20-40% off for self-pay patients. The Medicare baseline for this procedure is $21.