Price Checker / CPT 11421
How much does Exc H-f-nk-sp B9+marg 0.6-1 cost?
CPT 11421 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 29x the fair price — among the most extreme markups. Dispute this.
Fair price
$240–$480
What this should cost
With insurance
~$113,100
Typical out-of-pocket
Overcharged if over
$600
Push back above this
The average hospital charge of $10,385 is $10,025 over the fair price (about 29x the fair rate).
What hospitals charge for Exc H-f-nk-sp B9+marg 0.6-1
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Stony Brook Eastern Long Island Hospital , NY | $3,210 | — | 47625% |
| The Christ Hospital Inpatient Psychiatry , OH | $21,004 | $5,391 | 13083% |
| The Christ Hospital Inpatient Rehab , OH | $21,004 | $5,391 | 13083% |
| The Christ Hospital Liberty , OH | $21,004 | $5,391 | 13083% |
| The Christ Hospital , OH | $21,004 | $5,391 | 13083% |
| Franciscan Health Olympia Fields , IL | $19,405 | $3,881 | 12080% |
| Franciscan Health Orthopedic-Carmel , IN | $15,898 | $4,181 | 9879% |
| "St. Mary's General Hospital" PASSAIC, NJ | $14,437 | $1,057 | 8961% |
| UPMC Chautauqua , NY | — | — | 3304% |
| 62-1113167 BMH Tipton , TN | — | — | 2864% |
| Baptist Health Medical Center-Arkadelphia ARKADELPHIA, AR | $3,022 | $755 | 1796% |
| Baptist Health Medical Center-Heber Springs HEBER SPRINGS, AR | $3,022 | $755 | 1796% |
| Meritus Medical Center, Inc. HAGERSTOWN, MD | $1,296 | — | 714% |
| Richardson Medical Center RAYVILLE, LA | $1,024 | $768 | 543% |
| EHHS Milton Clinic Medicare , WI | $305 | $223 | 91% |
Were you billed for this procedure?
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About Exc H-f-nk-sp B9+marg 0.6-1
CPT code 11421 refers to exc h-f-nk-sp b9+marg 0.6-1 (billing description: "Exc h-f-nk-sp b9+marg 0.6-1"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $99 in a facility (hospital or surgery center) and $159 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.