Price Checker / CPT 99421
How much does Ol Dig E/m Svc 5-10 Min cost?
CPT 99421 · Based on 2026 Medicare rates and hospital-published pricing
The average hospital charge is a bit above the fair range. It may be worth asking for the cash/self-pay rate.
Fair price
$35–$40
What this should cost
With insurance
~$90
Typical out-of-pocket
Overcharged if over
$50
Push back above this
The average hospital charge of $46 is $6 over the fair price.
What hospitals charge for Ol Dig E/m Svc 5-10 Min
From hospital-published transparency (MRF) files. These are the hospitals in our database that list this procedure.
| Hospital | Gross Charge | Cash Rate | vs Medicare |
|---|---|---|---|
| Edgerton Hospital and Health Services EDGERTON, WI | $46 | $34 | 193% |
| EHHS Milton Clinic , WI | $46 | $34 | 193% |
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 Ol Dig E/m Svc 5-10 Min
CPT code 99421 refers to ol dig e/m svc 5-10 min (billing description: "Ol dig e/m svc 5-10 min"). Under the 2026 Medicare Physician Fee Schedule, it is reimbursed at $11 in a facility (hospital or surgery center) and $16 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.