Price Checker / CPT 11730
How much does Avulsion Nail Plate Simple 1 cost?
CPT 11730 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is around 14x the fair price — among the most extreme markups. Dispute this.
Fair price
$360–$420
What this should cost
With insurance
~$77,400
Typical out-of-pocket
Overcharged if over
$530
Push back above this
The average hospital charge of $5,546 is $5,156 over the fair price (about 14x the fair rate).
What hospitals charge for Avulsion Nail Plate Simple 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 |
|---|---|---|---|
| Carlinville Area Hospital Carlinville, IL | $139 | — | 17840% |
| Baptist Health-Fort Smith FORT SMITH, AR | $9,551 | $2,388 | 8461% |
| Baptist Health Medical Center-Conway CONWAY, AR | $9,551 | $2,388 | 8461% |
| Baptist Health Medical Center-Drew County MONTICELLO, AR | $9,551 | $2,388 | 8461% |
| Baptist Health Medical Center-Hot Spring County , AR | $9,551 | $2,388 | 8461% |
| Baptist Health Medical Center-Little Rock LITTLE ROCK, AR | $9,551 | $2,388 | 8461% |
| Baptist Health Medical Center-North Little Rock NORTH LITTLE ROCK, AR | $9,551 | $2,388 | 8461% |
| Baptist Health Medical Center-Stuttgart STUTTGART, AR | $9,551 | $2,388 | 8461% |
| Baptist Health-Van Buren VAN BUREN, AR | $9,551 | $2,388 | 8461% |
| UPMC Hamot ERIE, PA | — | — | 5873% |
| Baptist Health Medical Center-Arkadelphia ARKADELPHIA, AR | $4,336 | $1,084 | 3787% |
| Baptist Health Medical Center-Heber Springs HEBER SPRINGS, AR | $4,336 | $1,084 | 3787% |
| UM R Adams Cowley Shock Trauma Center Baltimore, MD | $884 | — | 693% |
| Edgerton Hospital and Health Services EDGERTON, WI | $459 | $335 | 311% |
| EHHS Milton Clinic , WI | $459 | $335 | 311% |
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 Avulsion Nail Plate Simple 1
CPT code 11730 refers to avulsion nail plate simple 1 (billing description: "Avulsion nail plate simple 1"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $49 in a facility (hospital or surgery center) and $112 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.