Price Checker / CPT 11423
How much does Exc H-f-nk-sp B9+marg 2.1-3 cost?
CPT 11423 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 25x the fair price — among the most extreme markups. Dispute this.
Fair price
$310–$630
What this should cost
With insurance
~$133,400
Typical out-of-pocket
Overcharged if over
$790
Push back above this
The average hospital charge of $11,512 is $11,042 over the fair price (about 25x the fair rate).
What hospitals charge for Exc H-f-nk-sp B9+marg 2.1-3
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Los Alamos Medical Center LOS ALAMOS, NY | $36,290 | — | 17284% |
| Bradley County Medical Center WARREN, AR | $4,299 | — | 1959% |
| Deckerville Community Hospital DECKERVILLE, MI | $3,587 | — | 1584% |
| Meritus Medical Center, Inc. HAGERSTOWN, MD | $1,873 | — | 797% |
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 Exc H-f-nk-sp B9+marg 2.1-3
CPT code 11423 refers to exc h-f-nk-sp b9+marg 2.1-3 (billing description: "Exc h-f-nk-sp b9+marg 2.1-3"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $144 in a facility (hospital or surgery center) and $209 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.