Price Checker / CPT 11043
How much does Dbrdmt Musc&/fsca 1st 20/< cost?
CPT 11043 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 9x the fair price — among the most extreme markups. Dispute this.
Fair price
$1,100–$1,250
What this should cost
With insurance
~$87,600
Typical out-of-pocket
Overcharged if over
$1,550
Push back above this
The average hospital charge of $10,767 is $9,567 over the fair price (about 9x the fair rate).
What hospitals charge for Dbrdmt Musc&/fsca 1st 20/<
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Coryell Health Gatesville, TX | $58,821 | — | 24462% |
| Franciscan Health Lafayette LAFAYETTE, IN | $55,985 | $14,388 | 23278% |
| ALLEN HOSPITAL Oberlin, OH | $32,339 | — | 10152% |
| Mena Hospital Commission dba Mena Regional Health System , AR | $21,488 | $12,893 | 8873% |
| Baptist Health-Fort Smith FORT SMITH, AR | $18,547 | $4,637 | 7645% |
| Baptist Health Medical Center-Conway CONWAY, AR | $18,547 | $4,637 | 7645% |
| Baptist Health Medical Center-Drew County MONTICELLO, AR | $18,547 | $4,637 | 7645% |
| Baptist Health Medical Center-Hot Spring County , AR | $18,547 | $4,637 | 7645% |
| Baptist Health Medical Center-Little Rock LITTLE ROCK, AR | $18,547 | $4,637 | 7645% |
| Baptist Health Medical Center-North Little Rock NORTH LITTLE ROCK, AR | $18,547 | $4,637 | 7645% |
| Baptist Health Medical Center-Stuttgart STUTTGART, AR | $18,547 | $4,637 | 7645% |
| Baptist Health-Van Buren VAN BUREN, AR | $18,547 | $4,637 | 7645% |
| Monroe Hospital BLOOMINGTON, IN | $11,295 | $739 | 4617% |
| UPMC Jameson NEW CASTLE, PA | $8,035 | $6,428 | 3255% |
| Kindred Hospital Las Vegas - Flamingo Las Vegas, NV | $7,206 | — | 2909% |
Were you billed for this procedure?
Send us your bill and we'll compare every line item against Medicare rates and your hospital's published prices. Free review, no obligation.
About Dbrdmt Musc&/fsca 1st 20/<
CPT code 11043 refers to dbrdmt musc&/fsca 1st 20/< (billing description: "Dbrdmt musc&/fsca 1st 20/<"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $138 in a facility (hospital or surgery center) and $239 in a doctor's office.
The Medicare rate is the closest thing to an objective "what this work is actually worth." A fair cash price for the uninsured is generally 1.5–3x that rate. Hospital sticker (gross) charges are often far higher — but almost nobody actually pays them.
What to do if you were overcharged
- 1Send us your bill — we'll identify this code and compare it against the rates shown above.
- 2Get a dispute letter — citing the Medicare rate and your hospital's own published pricing data.
- 3We negotiate for you — 25% of savings, no savings = no fee.