Price Checker / CPT 11422
How much does Exc H-f-nk-sp B9+marg 1.1-2 cost?
CPT 11422 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 21x the fair price — among the most extreme markups. Dispute this.
Fair price
$270–$540
What this should cost
With insurance
~$110,000
Typical out-of-pocket
Overcharged if over
$680
Push back above this
The average hospital charge of $8,570 is $8,160 over the fair price (about 21x the fair rate).
What hospitals charge for Exc H-f-nk-sp B9+marg 1.1-2
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Phelps Hospital SLEEPY HOLLOW, NY | — | $4,595 | 16507% |
| Franciscan Health Olympia Fields , IL | $23,668 | $4,734 | 13071% |
| Los Alamos Medical Center LOS ALAMOS, NY | $22,226 | — | 12269% |
| Franciscan Health Orthopedic-Carmel , IN | $15,898 | $4,181 | 8747% |
| "St. Mary's General Hospital" PASSAIC, NJ | $15,871 | $2,437 | 8732% |
| Doylestown Health , PA | $19,652 | — | 8102% |
| Mena Hospital Commission dba Mena Regional Health System , AR | $9,180 | $5,508 | 5009% |
| University Hospitals Samaritan Medical Center ASHLAND, OH | $6,229 | $4,672 | 3366% |
| Monroe Regional Hospital ABERDEEN, MS | $5,490 | $5,490 | 2955% |
| UPMC Chautauqua , NY | — | — | 2918% |
| 62-1113167 BMH Tipton , TN | — | — | 2528% |
| Dodge County Hospital EASTMAN, GA | $4,546 | $2,728 | 2430% |
| Jennie M Melham Memorial Medical Center BROKEN BOW, NE | $4,536 | — | 2424% |
| Carroll County Memorial Hospital CARROLLTON, KY | $3,958 | $2,375 | 2103% |
| Jeff Davis Hospital HAZLEHURST, GA | $3,501 | $1,225 | 1848% |
Were you billed for this procedure?
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About Exc H-f-nk-sp B9+marg 1.1-2
CPT code 11422 refers to exc h-f-nk-sp b9+marg 1.1-2 (billing description: "Exc h-f-nk-sp b9+marg 1.1-2"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $124 in a facility (hospital or surgery center) and $180 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.