CPT 11426

Skin Lesion Excision

Current code55 hospitals with prices

This name is the CMS category the code belongs to (CMS's Restructured BETOS Classification System), shared with similar codes. The official CPT description belongs to the American Medical Association and isn't shown.

What Washington hospitals publish for this code

Medicare Advantage: Rate for a private Medicare Advantage plan. Applies only to members of that plan.

Prices for CPT 11426 by hospital
HospitalMedicare Advantage rates (lowest – highest)Cash priceList price (before discounts)
Arbor Health Morton HospitalMortonFile dated 2026-05-18$1,347 – $1,75711 plans$1,815$2,928
BHC Fairfax HospitalKirkland—$530 – $7,110$530 – $7,110
Cascade Medical CenterLeavenworth$699 – $1,0467 plans$1,001$1,251
EvergreenHealth Medical CenterKirkland$3,170 – $3,2315 plans$6,270$7,837
Harborview Medical CenterSeattleFile dated 2026-04-01—$6,288$8,982
Highline Medical CenterBurienFile dated 2026-02-28—$1,111$3,638
Island HospitalAnacortes$3,467 – $3,67511 plansDoctor’s fee: $3,467 – $3,675$628 – $4,636Doctor’s fee: $519 – $628$628 – $4,636Doctor’s fee: $519 – $628
Kadlec Regional Medical CenterRichlandFile dated 2026-04-01—$3,890$5,557
Legacy Salmon Creek Medical CenterVancouverFile dated 2026-04-01—$212 – $605Doctor’s fee: $393 – $605$326 – $930Doctor’s fee: $605 – $930
Prov Sacred HRT Med Ctr & Childs Hosp.SpokaneFile dated 2026-04-01—$6,116$8,737
Providence Centralia HospitalCentraliaFile dated 2026-04-01—$5,968$11,476
Providence Holy Family HospitalSpokaneFile dated 2026-04-01—$6,410$9,157
Providence Mount Carmel HospitalColvilleFile dated 2026-04-01—$4,521$6,458
Providence St Joseph HospitalChewelahFile dated 2026-04-01—$3,865$5,522
Providence St Mary Medical CenterWalla WallaFile dated 2026-04-01—$3,955$5,650
Providence St Peter HospitalOlympiaFile dated 2026-04-01—$5,968$11,476
Seattle Children's HospitalSeattle—$2,118$1,136 – $2,118
Skagit Valley HospitalMount Vernon$2,862 – $3,0054 plans$3,752$4,690
St Anthony HospitalGig HarborFile dated 2026-02-28—$1,106$3,638
St Clare HospitalLakewoodFile dated 2026-02-28—$1,049$3,638
St Elizabeth HospitalEnumclawFile dated 2026-02-28—$1,285$3,638
St Francis Community HospitalFederal WayFile dated 2026-02-28—$1,142$3,638
St Joseph Medical CenterTacomaFile dated 2026-02-28—$1,205$3,638
St Michael Medical CenterSilverdaleFile dated 2026-02-28—$1,605$3,638
Swedish IssaquahIssaquahFile dated 2026-04-01—$5,643$11,756
Swedish Medical CenterSeattleFile dated 2026-04-01—$5,643$11,756
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01—$5,643$11,756
Three Rivers HospitalBrewster—Doctor’s fee: $669Doctor’s fee: $669
Trios HealthKennewick$3,0521 plan—$95,530
University of Washington Medical CtrSeattleFile dated 2026-04-01—$2,786$3,979
Virginia Mason Medical CenterSeattle—$4,405$8,638

Lowest and highest amounts each hospital lists for this code during a hospital stay, including lines it lists for both settings or without saying which. A doctor’s fee is shown separately when the hospital lists one with the code. “At least” means plans were counted in more than one group and some may be the same plan. This is one line of a bill; most care brings several.

Medicare (traditional) reference

Only for people on original Medicare. These are CMS’s 2026 amounts. They aren’t what private insurance or cash patients pay.

Doctor's fee, Seattle (King County)
$385 in an office; $268 in a hospital or surgery center
Doctor's fee, rest of Washington
$346 in an office; $246 in a hospital or surgery center
Hospital outpatient payment (national)
$2,968 (APC 5073)
Surgery center payment (national)
$1,248

How hospitals also write this code

Some price files write it differently. These are counted as CPT 11426:

  • 11426P (with a letter after it, P; 6 price lines)
  • 11426T (with a letter after it, T; 3 price lines)