Price Checker / CPT 11426
How much does Exc H-f-nk-sp B9+marg >4 Cm cost?
CPT 11426 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 11x the fair price — among the most extreme markups. Dispute this.
Fair price
$510–$1,000
What this should cost
With insurance
~$2,700
Typical out-of-pocket
Overcharged if over
$1,250
Push back above this
The average hospital charge of $8,384 is $7,624 over the fair price (about 11x the fair rate).
What hospitals charge for Exc H-f-nk-sp B9+marg >4 Cm
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Clark Regional Medical Center WINCHESTER, KY | $41,607 | — | 12136% |
| Person Memorial Hospital ROXBORO, NC | $38,775 | — | 11304% |
| Los Alamos Medical Center LOS ALAMOS, NY | $25,393 | — | 7368% |
| Southern Tennessee Regional Health System - Pulaski PULASKI, TN | $21,710 | — | 6285% |
| Ashley Regional Medical Center VERNAL, UT | $15,283 | — | 4395% |
| Mena Hospital Commission dba Mena Regional Health System , AR | $12,600 | $7,560 | 3606% |
| Troy Regional Medical Center TROY, AL | $10,000 | $3,000 | 2841% |
| Margaret Mary Health , OH | $6,891 | — | 1927% |
| LifeBrite Community Hospital of Stokes DANBURY, NC | $7,135 | — | 1789% |
| Martha's Vineyard Hospital , MA | $5,953 | — | 1651% |
| Henry County Hospital Napoleon, OH | $5,112 | — | 1403% |
| Bradley County Medical Center WARREN, AR | $4,691 | — | 1280% |
| Eagle Lake , TX | $730 | — | 943% |
| Rice Medical Center EAGLE LAKE, TX | $730 | — | 943% |
| Rice Medical East Bernard , TX | $730 | — | 943% |
Were you billed for this procedure?
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About Exc H-f-nk-sp B9+marg >4 Cm
CPT code 11426 refers to exc h-f-nk-sp b9+marg >4 cm (billing description: "Exc h-f-nk-sp b9+marg >4 cm"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $245 in a facility (hospital or surgery center) and $340 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.