Price Checker / CPT 11420
How much does Exc H-f-nk-sp B9+marg 0.5/< cost?
CPT 11420 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 58x the fair price — among the most extreme markups. Dispute this.
Fair price
$190–$370
What this should cost
With insurance
~$110,500
Typical out-of-pocket
Overcharged if over
$460
Push back above this
The average hospital charge of $16,292 is $16,012 over the fair price (about 58x the fair rate).
What hospitals charge for Exc H-f-nk-sp B9+marg 0.5/<
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| John Muir Health Behavioral Health Center , CA | $52,175 | $23,479 | 41666% |
| John Muir Health Walnut Creek Medical Center , CA | $52,175 | $23,479 | 41666% |
| The Christ Hospital Inpatient Psychiatry , OH | $37,754 | $7,315 | 30123% |
| The Christ Hospital Inpatient Rehab , OH | $37,754 | $7,315 | 30123% |
| The Christ Hospital Liberty , OH | $37,754 | $7,315 | 30123% |
| The Christ Hospital , OH | $37,754 | $7,315 | 30123% |
| Ashley Regional Medical Center VERNAL, UT | $33,368 | — | 26611% |
| Phelps Hospital SLEEPY HOLLOW, NY | — | $4,595 | 20149% |
| Castleview Hospital PRICE, UT | $23,004 | — | 18315% |
| Adventhealth Avista LOUISVILLE, CO | $18,752 | $9,376 | 14911% |
| AdventHealth Lenexa City Center , KS | $18,752 | $9,376 | 14911% |
| Adventhealth Parker PARKER, CO | $18,752 | $9,376 | 14911% |
| Adventhealth Porter DENVER, CO | $18,752 | $9,376 | 14911% |
| AdventHealth Shawnee Mission SHAWNEE MISSION, KS | $18,752 | $9,376 | 14911% |
| Glen Cove Hospital , NY | — | $4,595 | 13717% |
Were you billed for this procedure?
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About Exc H-f-nk-sp B9+marg 0.5/<
CPT code 11420 refers to exc h-f-nk-sp b9+marg 0.5/< (billing description: "Exc h-f-nk-sp b9+marg 0.5/<"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $76 in a facility (hospital or surgery center) and $125 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.