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Removal of plates or screws: what insurers pay

Taking out deep (20680) or superficial (20670) implants after a fracture heals. Anesthesia code varies with the body part. Commercial negotiated rates by hospital and market, next to Medicare for the same code.

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CPT 20680: Removal of Implant Deep

101 hospitals in 36 markets. National Medicare rate $2,968, surgery center $1,248.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$5,324–$5,324
Austin TX2———$2,226–$5,926
Boston MA7$3,638$3,813$4,312$3,340–$5,701
California (statewide)1———$11,855–$11,855
Chicago IL5$4,311$5,008$5,636$3,751–$7,290
Cleveland OH5$5,504$5,512$6,514$3,256–$7,088
Columbus OH1———$10,448–$10,448
Dallas-Fort Worth TX4———$5,913–$8,870
Denver CO7$3,627$4,948$5,132$2,452–$5,980
Detroit MI6$2,744$3,264$4,286$2,744–$6,556
Georgia (statewide)1———$5,495–$5,495
Houston TX1———$4,093–$4,093
Indianapolis IN1———$8,718–$8,718
Kansas (statewide)1———$5,531–$5,531
Las Vegas NV2———$2,444–$3,349
Los Angeles CA2———$8,150–$20,636
Miami-Fort Lauderdale FL1———$9,088–$9,088
Minneapolis-St. Paul MN1———$2,852–$2,852
Nashville TN4———$1,869–$3,603
New York (statewide)1———$5,783–$5,783
New York City3———$2,788–$10,830
Ohio (statewide)1———$9,005–$9,005
Philadelphia PA5$4,642$7,409$9,172$4,420–$11,208
Phoenix AZ3———$3,770–$4,000
Pittsburgh PA1———$5,031–$5,031
Portland OR6$10,273$10,273$11,538$10,273–$11,960
Research Triangle NC2———$2,675–$6,856
Richmond VA2———$6,380–$6,548
San Antonio TX1———$5,032–$5,032
San Diego CA1———$3,736–$3,736
San Francisco Bay Area CA1———$22,041–$22,041
Seattle-Tacoma WA6$8,819$9,544$10,500$7,793–$10,616
St. Louis MO6$5,397$6,730$10,153$4,953–$12,512
Tampa FL2———$3,812–$8,481
Washington DC6$4,053$5,325$5,685$3,400–$6,158
Wisconsin (statewide)1———$6,484–$6,484
HospitalMarketMedian across insurers× MedicareInsurersFile date
Ascension Saint Thomas RutherfordNashville TN$1,8690.7×12026-01-01
Ascension Seton Medical Center AustinAustin TX$2,2260.8×12026-01-01
Henderson HospitalLas Vegas NV$2,4440.8×42026-09-01
Adventhealth PorterDenver CO$2,4520.8×42026-04-01
Adventhealth ParkerDenver CO$2,4520.8×42026-04-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$2,5820.9×22026-01-01
North Carolina Specialty HospitalResearch Triangle NC$2,6750.9×12026-02-25
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$2,7440.9×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$2,7440.9×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$2,7440.9×12026-05-01
Montefiore Medical CenterNew York City$2,7880.8×92026-04-01
Vanderbilt University Medical CenterNashville TN$2,8341.0×82025-10-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$2,8520.9×42026-03-31
University Hospitals - Elyria Medical CenterCleveland OH$3,2561.2×32026-07-14
Beth Israel Deaconess Hospital - PlymouthBoston MA$3,3401.0×22026-04-01
University Medical Center of Southern NevadaLas Vegas NV$3,3491.1×72026-07-01
George Washington Univ HospitalWashington DC$3,4001.0×32026-09-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$3,5241.0×22026-04-01
TriStar StoneCrest Medical CenterNashville TN$3,6031.3×52026-09-01
Scripps Green HospitalSan Diego CA$3,7361.0×12026-03-30
Medstar Georgetown University HospitalWashington DC$3,7461.1×42026-04-01
Endeavor Health Northwest Community HospitalChicago IL$3,7511.2×32026-04-01
New England Baptist HospitalBoston MA$3,7521.1×42026-04-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$3,7701.2×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$3,7701.2×52026-04-01
Trinity Health Oakland HospitalDetroit MI$3,7831.3×162026-03-31
Tampa General HospitalTampa FL$3,8121.3×32026-04-01
Winchester HospitalBoston MA$3,8131.1×32026-04-01
Beverly Hospital CorporationBoston MA$3,9351.1×42026-04-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$4,0001.3×42026-04-01
Houston Methodist HospitalHouston TX$4,0931.4×62026-04-01
Endeavor Health Edward HospitalChicago IL$4,3111.4×22026-04-01
Riddle Memorial HospitalPhiladelphia PA$4,4201.5×22026-04-01
Henry Ford Health Rochester HospitalDetroit MI$4,4531.5×12026-01-01
Bryn Mawr HospitalPhiladelphia PA$4,6421.6×22026-04-01
Anna Jaques HospitalBoston MA$4,6881.4×32026-04-01
HCA HealthONE SwedishDenver CO$4,8021.6×42026-09-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$4,9481.6×42026-09-01
Mercy Hospital St LouisSt. Louis MO$4,9531.7×12026-06-04
Mercy Hospital SouthSt. Louis MO$4,9531.7×12026-06-10
Medstar Washington Hospital CenterWashington DC$4,9741.4×52026-04-01
Endeavor Health Elmhurst HospitalChicago IL$5,0081.6×22026-04-01
Upmc Presbyterian ShadysidePittsburgh PA$5,0311.8×12026-03-06
Methodist HospitalSan Antonio TX$5,0321.7×52026-09-01
HCA HealthONE Sky RidgeDenver CO$5,0661.6×42026-09-01
Hca Healthone RoseDenver CO$5,1971.7×42026-09-01
Emory University HospitalAtlanta GA$5,3241.8×62026-04-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$5,4952.2×32026-04-01
Medina HospitalCleveland OH$5,5042.0×32026-06-15
Cleveland Clinic Lutheran HospitalCleveland OH$5,5122.0×22026-06-15
Menorah Medical CenterKansas (statewide)$5,5312.0×52026-09-01
Endeavor Health Evanston HospitalChicago IL$5,6361.8×32026-04-01
Reston Hospital CenterWashington DC$5,6761.9×42026-09-01
Stonesprings Hospital CenterWashington DC$5,6881.9×42026-09-01
Beth Israel Deaconess Medical CenterBoston MA$5,7011.6×22026-04-01
Stony Brook University HospitalNew York (statewide)$5,7831.6×52026-06-10
Medical City PlanoDallas-Fort Worth TX$5,9132.0×52026-09-01
St David's Medical CenterAustin TX$5,9262.0×52026-09-01
UCHealth University of Colorado HospitalDenver CO$5,9801.9×32025-11-01
Baylor University Medical CenterDallas-Fort Worth TX$6,0932.1×32026-06-29
Inova Alexandria HospitalWashington DC$6,1582.0×52026-04-01
Henrico Doctors' HospitalRichmond VA$6,3802.3×42026-09-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$6,4842.2×32026-01-01
Cleveland Clinic (main campus)Cleveland OH$6,5142.4×22026-06-16
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$6,5482.3×42026-09-01
Harper University HospitalDetroit MI$6,5562.3×22026-09-02
Missouri Baptist Medical CenterSt. Louis MO$6,7302.3×42025-12-15
Barnes-Jewish St Peters HospitalSt. Louis MO$6,7302.3×42025-12-15
Medical City MckinneyDallas-Fort Worth TX$6,7942.3×52026-09-01
UNC Hospitals (Chapel Hill)Research Triangle NC$6,8562.4×42026-04-01
Cleveland Clinic Hillcrest HospitalCleveland OH$7,0882.6×22026-06-15
University of Chicago Medical CenterChicago IL$7,2902.3×22026-04-01
Jefferson Stratford HospitalPhiladelphia PA$7,4092.3×32026-09-15
Overlake Hospital Medical CenterSeattle-Tacoma WA$7,7932.3×52026-04-01
Keck Hospital Of UscLos Angeles CA$8,1502.2×52026-04-01
Morton Plant HospitalTampa FL$8,4812.8×32026-01-01
Riverview HealthIndianapolis IN$8,7182.8×22026-04-01
St Clare HospitalSeattle-Tacoma WA$8,7802.6×62026-02-28
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$8,8703.0×22026-04-21
St Anthony HospitalSeattle-Tacoma WA$8,9362.6×62026-02-28
Bethesda NorthOhio (statewide)$9,0053.2×42026-04-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$9,0612.5×72026-01-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$9,0883.0×22026-06-15
Thomas Jefferson University HospitalPhiladelphia PA$9,1723.1×32026-09-15
Swedish Medical CenterSeattle-Tacoma WA$10,1533.0×52026-04-01
Legacy Emanuel Medical CenterPortland OR$10,2733.2×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$10,2733.2×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$10,2733.2×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$10,2733.2×52026-04-01
Mount Carmel New Albany Surgical HospitalColumbus OH$10,4483.7×202026-03-31
Multicare Good Samaritan HospitalSeattle-Tacoma WA$10,6163.1×72026-08-27
Tacoma General Allenmore HospitalSeattle-Tacoma WA$10,6163.1×72026-08-27
Hospital for Special SurgeryNew York City$10,8303.0×62026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$11,2083.4×12026-03-24
Barnes Jewish HospitalSt. Louis MO$11,2943.9×42025-12-15
Los Robles Hospital & Medical CenterCalifornia (statewide)$11,8553.2×52026-09-01
Providence St Vincent Medical CenterPortland OR$11,9603.7×32026-04-01
Providence Portland Medical CenterPortland OR$11,9603.7×32026-04-01
Barnes-Jewish West County HospitalSt. Louis MO$12,5124.3×42025-12-15
Cedars-Sinai Medical CenterLos Angeles CA$20,6365.5×32025-11-26
Stanford Health CareSan Francisco Bay Area CA$22,0415.2×32026-04-01

CPT 20670: Removal Implant Superficial

100 hospitals in 35 markets. National Medicare rate $1,687, surgery center $742.

MarketHospitals25th pctMedian75th pctLow–high
Atlanta GA1———$3,320–$3,320
Austin TX2———$1,144–$4,173
Boston MA7$2,128$2,205$2,481$2,025–$3,297
California (statewide)1———$7,551–$7,551
Chicago IL7$2,641$3,500$4,804$1,520–$5,166
Cleveland OH5$2,744$2,794$3,174$2,525–$3,684
Dallas-Fort Worth TX4———$3,500–$5,225
Denver CO7$2,628$3,822$4,011$1,441–$4,785
Detroit MI6$2,013$2,103$2,103$1,684–$5,080
Georgia (statewide)1———$3,590–$3,590
Houston TX1———$2,673–$2,673
Illinois (statewide)1———$1,926–$1,926
Indianapolis IN2———$1,747–$4,994
Kansas (statewide)1———$2,794–$2,794
Las Vegas NV2———$2,088–$2,175
Los Angeles CA2———$5,705–$13,493
Miami-Fort Lauderdale FL1———$1,575–$1,575
Minneapolis-St. Paul MN1———$1,507–$1,507
Nashville TN4———$1,217–$2,371
New York (statewide)1———$5,171–$5,171
New York City3———$2,726–$8,427
Ohio (statewide)1———$4,090–$4,090
Philadelphia PA5$2,299$5,051$6,185$2,196–$6,872
Phoenix AZ3———$2,242–$2,421
Pittsburgh PA1———$3,276–$3,276
Portland OR6$5,416$5,416$6,428$5,416–$6,766
Research Triangle NC1———$3,090–$3,090
Richmond VA2———$3,534–$3,564
San Antonio TX1———$2,456–$2,456
San Francisco Bay Area CA1———$13,980–$13,980
Seattle-Tacoma WA6$5,032$5,557$6,047$4,412–$6,057
St. Louis MO4———$4,953–$9,261
Tampa FL2———$2,190–$3,650
Washington DC6$2,456$3,270$3,352$1,920–$3,783
Wisconsin (statewide)1———$2,183–$2,183
HospitalMarketMedian across insurers× MedicareInsurersFile date
Ascension Seton Medical Center AustinAustin TX$1,1440.7×22026-01-01
Ascension Saint Thomas RutherfordNashville TN$1,2170.8×12026-01-01
Ascension Saint Thomas Hospital (Midtown + West)Nashville TN$1,3780.9×22026-01-01
Adventhealth PorterDenver CO$1,4410.8×42026-04-01
Adventhealth ParkerDenver CO$1,4410.8×42026-04-01
Park Nicollet Methodist HospitalMinneapolis-St. Paul MN$1,5070.9×32026-03-31
Endeavor Health Northwest Community HospitalChicago IL$1,5200.9×32026-04-01
Cleveland Clinic HospitalMiami-Fort Lauderdale FL$1,5750.9×32026-06-15
Trinity Health Oakland HospitalDetroit MI$1,6841.0×162026-03-31
Hendricks Regional HealthIndianapolis IN$1,7471.0×12026-05-20
Medstar Washington Hospital CenterWashington DC$1,9201.0×52026-04-01
Sarah Bush Lincoln Health CenterIllinois (statewide)$1,9261.1×12026-06-03
Henry Ford Health Rochester HospitalDetroit MI$1,9831.2×12026-01-01
Vanderbilt University Medical CenterNashville TN$2,0221.3×82025-10-01
Beth Israel Deaconess Hospital - PlymouthBoston MA$2,0251.0×22026-04-01
University Medical Center of Southern NevadaLas Vegas NV$2,0881.2×72026-07-01
Corewell Health Beaumont Grosse Pointe HospitalDetroit MI$2,1031.3×12026-05-01
Corewell Health William Beaumont University HospitDetroit MI$2,1031.3×12026-05-01
Corewell Health Beaumont Troy HospitalDetroit MI$2,1031.3×12026-05-01
Lahey Hospital & Medical Center, BurlingtonBoston MA$2,1041.1×22026-04-01
New England Baptist HospitalBoston MA$2,1511.1×42026-04-01
Henderson HospitalLas Vegas NV$2,1751.3×42026-09-01
Orthopaedic Hospital Of WisconsinWisconsin (statewide)$2,1831.3×32026-01-01
Tampa General HospitalTampa FL$2,1901.3×32026-04-01
Riddle Memorial HospitalPhiladelphia PA$2,1961.3×22026-04-01
Winchester HospitalBoston MA$2,2051.1×32026-04-01
George Washington Univ HospitalWashington DC$2,2101.1×32026-09-01
HonorHealth Scottsdale Thompson Peak Medical CenterPhoenix AZ$2,2421.3×42026-04-01
Beverly Hospital CorporationBoston MA$2,2761.1×42026-04-01
Bryn Mawr HospitalPhiladelphia PA$2,2991.4×22026-04-01
TriStar StoneCrest Medical CenterNashville TN$2,3711.5×52026-09-01
HonorHealth Scottsdale Osborn Medical CenterPhoenix AZ$2,4211.4×52026-04-01
HonorHealth Scottsdale Shea Medical CenterPhoenix AZ$2,4211.4×52026-04-01
Methodist HospitalSan Antonio TX$2,4561.5×52026-09-01
University Hospitals - Elyria Medical CenterCleveland OH$2,5251.6×32026-07-14
Endeavor Health Evanston HospitalChicago IL$2,5501.4×32026-04-01
Houston Methodist HospitalHouston TX$2,6731.6×62026-04-01
Anna Jaques HospitalBoston MA$2,6861.4×32026-04-01
Montefiore Medical CenterNew York City$2,7261.3×92026-04-01
Endeavor Health Edward HospitalChicago IL$2,7321.5×22026-04-01
Cleveland Clinic Lutheran HospitalCleveland OH$2,7441.8×22026-06-15
Menorah Medical CenterKansas (statewide)$2,7941.8×52026-09-01
Medina HospitalCleveland OH$2,7941.8×32026-06-15
UNC Hospitals (Chapel Hill)Research Triangle NC$3,0901.9×42026-04-01
Cleveland Clinic (main campus)Cleveland OH$3,1742.0×32026-06-16
Inova Alexandria HospitalWashington DC$3,1931.9×62026-04-01
Upmc Presbyterian ShadysidePittsburgh PA$3,2762.0×12026-03-06
Beth Israel Deaconess Medical CenterBoston MA$3,2971.7×22026-04-01
Emory University HospitalAtlanta GA$3,3202.0×62026-04-01
Reston Hospital CenterWashington DC$3,3482.0×42026-09-01
Stonesprings Hospital CenterWashington DC$3,3542.0×42026-09-01
Endeavor Health Elmhurst HospitalChicago IL$3,5002.0×22026-04-01
Medical City PlanoDallas-Fort Worth TX$3,5002.1×52026-09-01
CJW Medical Center (Chippenham + Johnston-Willis)Richmond VA$3,5342.2×42026-09-01
Henrico Doctors' HospitalRichmond VA$3,5642.2×42026-09-01
Emory Houston Hospital Warner RobinsGeorgia (statewide)$3,5902.5×32026-04-01
Morton Plant HospitalTampa FL$3,6502.1×22026-01-01
Cleveland Clinic Hillcrest HospitalCleveland OH$3,6842.4×22026-06-15
Baylor University Medical CenterDallas-Fort Worth TX$3,6932.2×32026-06-29
Medstar Georgetown University HospitalWashington DC$3,7831.9×42026-04-01
HCA HealthONE Presbyterian/St. Luke'sDenver CO$3,8162.2×42026-09-01
HCA HealthONE SwedishDenver CO$3,8222.2×42026-09-01
Medical City MckinneyDallas-Fort Worth TX$3,9532.4×52026-09-01
HCA HealthONE Sky RidgeDenver CO$4,0022.3×42026-09-01
Hca Healthone RoseDenver CO$4,0202.3×42026-09-01
Bethesda NorthOhio (statewide)$4,0902.5×42026-04-01
St David's Medical CenterAustin TX$4,1732.5×52026-09-01
Overlake Hospital Medical CenterSeattle-Tacoma WA$4,4122.3×52026-04-01
University of Chicago Medical CenterChicago IL$4,6542.6×22026-04-01
UCHealth University of Colorado HospitalDenver CO$4,7852.8×32025-11-01
Mercy Hospital St LouisSt. Louis MO$4,9533.0×12026-06-04
Loyola University Medical CenterChicago IL$4,9552.8×12026-03-31
Riverview HealthIndianapolis IN$4,9942.9×22026-04-01
St Clare HospitalSeattle-Tacoma WA$5,0102.6×72026-02-28
Thomas Jefferson University HospitalPhiladelphia PA$5,0513.0×32026-09-15
Harper University HospitalDetroit MI$5,0803.1×22026-09-02
St Anthony HospitalSeattle-Tacoma WA$5,0982.6×72026-02-28
Rush University Medical CenterChicago IL$5,1662.9×22026-09-25
Stony Brook University HospitalNew York (statewide)$5,1712.5×52026-06-10
Texas Health Presbyterian Hospital DallasDallas-Fort Worth TX$5,2253.1×22026-04-21
Hospital for Special SurgeryNew York City$5,2772.6×62026-04-01
Legacy Emanuel Medical CenterPortland OR$5,4163.0×52026-04-01
Legacy Good Samaritan Medical CenterPortland OR$5,4163.0×52026-04-01
Legacy Mount Hood Medical CenterPortland OR$5,4163.0×52026-04-01
Legacy Meridian Park Medical CenterPortland OR$5,4163.0×52026-04-01
Keck Hospital Of UscLos Angeles CA$5,7052.7×52026-04-01
Swedish Medical CenterSeattle-Tacoma WA$6,0163.1×52026-04-01
Multicare Good Samaritan HospitalSeattle-Tacoma WA$6,0573.1×72026-08-27
Tacoma General Allenmore HospitalSeattle-Tacoma WA$6,0573.1×72026-08-27
Jefferson Stratford HospitalPhiladelphia PA$6,1853.3×32026-09-15
Missouri Baptist Medical CenterSt. Louis MO$6,7304.1×42025-12-15
Barnes-Jewish West County HospitalSt. Louis MO$6,7304.1×42025-12-15
Providence St Vincent Medical CenterPortland OR$6,7663.7×32026-04-01
Providence Portland Medical CenterPortland OR$6,7663.7×32026-04-01
Inspira Medical Center Mullica HillPhiladelphia PA$6,8723.7×12026-03-24
Los Robles Hospital & Medical CenterCalifornia (statewide)$7,5513.6×52026-09-01
NYU Langone Hospitals (Orthopedic Hospital + Tisch files)New York City$8,4274.1×72026-01-01
Barnes Jewish HospitalSt. Louis MO$9,2615.6×42025-12-15
Cedars-Sinai Medical CenterLos Angeles CA$13,4936.3×32025-11-26
Stanford Health CareSan Francisco Bay Area CA$13,9805.8×42026-04-01

Questions

How much do commercial insurers pay hospitals for removal of plates or screws?

Across 101 hospitals in 36 metro areas that post a usable dollar rate, the median commercial rate for CPT 20680, hospital outpatient is $5,531, 1.9× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,783 to $8,481. Figures are each hospital's median across insurers, from its federal price-transparency file.

What does Medicare pay for removal of plates or screws?

Medicare's national hospital outpatient rate for CPT 20680 is $2,968 and its surgery-center rate is $1,248, before local wage adjustment.

Which hospitals post the lowest and highest commercial rates for removal of plates or screws?

Lowest medians: Ascension Saint Thomas Rutherford ($1,869), Ascension Seton Medical Center Austin ($2,226), Henderson Hospital ($2,444). Highest: Stanford Health Care ($22,041), Cedars-Sinai Medical Center ($20,636), Barnes-Jewish West County Hospital ($12,512). Coverage is limited to the markets listed on this page.