I've had a couple of cases of BCC (Basal Cell Carcionoma) and the biopsy and treatment was done in Bangkok Pattaya Hospital, and even though my insurance paid for it I think the bill was something like 5-6000 Baht for biopsy and treatment. It was definitively nothing close to the 22k you paid.
I am of course much more vigilant now and have the Mrs check regularly in areas I can't observe, and at least once a year I heads to the dermatologist for a thorough check-up.
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