CPT 11604

Skin Lesion Excision

Current code44 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

Medicaid (state program): Washington Apple Health fee-for-service. Applies only to Medicaid enrollees.

Prices for CPT 11604 by hospital
Hospital	Medicaid (state program) rates (lowest – highest)	Cash price	List price (before discounts)
BHC Fairfax HospitalKirkland	—	$440	$440
Cascade Medical CenterLeavenworth	$5041 plan	$755	$944
EvergreenHealth Medical CenterKirkland	—	$2,947	$3,684
Harborview Medical CenterSeattleFile dated 2026-04-01	—	$2,592	$3,703
Island HospitalAnacortes	—	$403 – $1,587	$403 – $1,587
Seattle Children's HospitalSeattle	$1241 plan	—	$891
Swedish IssaquahIssaquahFile dated 2026-04-01	—	$1,900	$3,958
Swedish Medical CenterSeattleFile dated 2026-04-01	—	$1,900	$3,958
Swedish Medical Center / Cherry HillSeattleFile dated 2026-04-01	—	$1,900	$3,958
Three Rivers HospitalBrewster	Doctor’s fee: $560	Doctor’s fee: $800	Doctor’s fee: $800
Trios HealthKennewick	—	—	$106,904
University of Washington Medical CtrSeattleFile dated 2026-04-01	—	$1,031	$1,472
Virginia Mason Medical CenterSeattle	—	$2,139	$4,194
Yakima Valley MemorialYakimaFile dated 2026-08-27	—	$908	$2,270

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): $358 in an office; $198 in a hospital or surgery center
Doctor's fee, rest of Washington: $319 in an office; $183 in a hospital or surgery center
Hospital outpatient payment (national): $723 (APC 5071)
Surgery center payment (national): $389