Price AtlasInteractive atlas · All states · techysurgeon.comRemoval 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.
Open the interactive explorerAll operations
CPT 20680: Removal of Plates Or Screws
1293 hospitals in 82 markets. National Medicare rate $2,968, surgery center $1,248.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 17 | $3,033 | $3,524 | $3,962 | $2,562–$8,718 |
| Alaska (statewide) | 4 | — | — | — | $3,973–$15,112 |
| Arizona (statewide) | 13 | $4,000 | $4,238 | $4,465 | $1,766–$6,732 |
| Arkansas (statewide) | 13 | $2,524 | $2,730 | $3,226 | $1,882–$4,000 |
| Atlanta GA | 6 | $5,324 | $5,324 | $5,688 | $5,324–$5,809 |
| Austin TX | 13 | $2,226 | $4,412 | $4,863 | $2,226–$5,242 |
| Boston MA | 15 | $3,236 | $4,561 | $5,262 | $2,378–$6,323 |
| California (statewide) | 69 | $4,110 | $6,245 | $10,593 | $2,133–$12,858 |
| Charlotte NC | 5 | $3,403 | $3,403 | $3,403 | $3,356–$3,403 |
| Chicago IL | 8 | $4,171 | $5,322 | $7,291 | $3,496–$7,295 |
| Cleveland OH | 11 | $3,321 | $3,974 | $5,438 | $3,252–$6,249 |
| Colorado (statewide) | 17 | $3,185 | $5,336 | $5,922 | $1,829–$9,563 |
| Columbus OH | 2 | — | — | — | $10,448–$10,448 |
| Connecticut (statewide) | 3 | — | — | — | $4,478–$12,102 |
| Dallas-Fort Worth TX | 14 | $5,074 | $5,230 | $5,845 | $4,362–$10,001 |
| Delaware (statewide) | 1 | — | — | — | $7,894–$7,894 |
| Denver CO | 15 | $3,816 | $5,492 | $5,936 | $3,185–$7,200 |
| Detroit MI | 15 | $2,744 | $2,744 | $4,380 | $2,330–$7,299 |
| Florida (statewide) | 63 | $5,360 | $6,097 | $7,272 | $1,613–$13,397 |
| Georgia (statewide) | 32 | $3,156 | $5,362 | $5,809 | $1,700–$17,296 |
| Hawaii (statewide) | 6 | $3,674 | $4,328 | $4,609 | $3,493–$6,463 |
| Houston TX | 19 | $4,198 | $4,372 | $4,545 | $3,965–$5,544 |
| Idaho (statewide) | 16 | $2,447 | $3,593 | $5,842 | $1,509–$10,411 |
| Illinois (statewide) | 33 | $3,559 | $4,823 | $6,805 | $1,821–$10,500 |
| Indiana (statewide) | 38 | $4,311 | $7,320 | $12,010 | $1,905–$22,582 |
| Indianapolis IN | 3 | — | — | — | $3,969–$12,083 |
| Iowa (statewide) | 25 | $3,343 | $4,288 | $5,506 | $1,554–$8,815 |
| Kansas (statewide) | 20 | $3,272 | $3,839 | $5,107 | $2,129–$15,112 |
| Kentucky (statewide) | 16 | $3,418 | $3,910 | $4,323 | $1,845–$10,645 |
| Las Vegas NV | 2 | — | — | — | $2,570–$3,010 |
| Los Angeles CA | 17 | $5,214 | $6,161 | $8,208 | $4,514–$20,636 |
| Louisiana (statewide) | 18 | $2,690 | $3,164 | $3,881 | $2,154–$7,757 |
| Maine (statewide) | 17 | $11,727 | $13,167 | $13,615 | $3,076–$17,118 |
| Maryland (statewide) | 1 | — | — | — | $3,137–$3,137 |
| Massachusetts (statewide) | 8 | $3,191 | $3,631 | $3,932 | $2,503–$4,198 |
| Miami-Fort Lauderdale FL | 2 | — | — | — | $3,033–$5,344 |
| Michigan (statewide) | 30 | $2,645 | $3,039 | $4,028 | $1,624–$5,606 |
| Minneapolis-St. Paul MN | 9 | $3,694 | $4,679 | $4,679 | $2,498–$5,626 |
| Minnesota (statewide) | 13 | $4,840 | $7,583 | $8,788 | $1,554–$10,505 |
| Mississippi (statewide) | 21 | $3,108 | $4,143 | $4,712 | $2,030–$8,060 |
| Missouri (statewide) | 22 | $4,034 | $4,980 | $6,283 | $1,929–$16,035 |
| Montana (statewide) | 8 | $5,124 | $6,096 | $7,005 | $2,325–$8,429 |
| Nashville TN | 8 | $3,262 | $3,529 | $4,135 | $1,869–$5,997 |
| Nebraska (statewide) | 15 | $5,425 | $6,132 | $8,645 | $1,932–$18,020 |
| Nevada (statewide) | 6 | $2,476 | $4,050 | $5,766 | $2,444–$7,180 |
| New Hampshire (statewide) | 6 | $7,764 | $9,826 | $11,003 | $5,384–$13,007 |
| New Jersey (statewide) | 27 | $4,767 | $5,936 | $7,772 | $3,127–$11,208 |
| New Mexico (statewide) | 9 | $5,366 | $8,281 | $12,319 | $2,188–$14,698 |
| New York (statewide) | 33 | $3,463 | $4,731 | $6,231 | $1,865–$9,954 |
| New York City | 9 | $3,459 | $3,465 | $5,908 | $3,354–$12,245 |
| North Carolina (statewide) | 10 | $4,608 | $6,144 | $7,194 | $3,316–$9,044 |
| North Dakota (statewide) | 6 | $4,968 | $5,097 | $6,163 | $1,587–$7,705 |
| Ohio (statewide) | 39 | $3,452 | $6,249 | $8,522 | $1,783–$11,165 |
| Oklahoma (statewide) | 15 | $2,952 | $5,438 | $6,656 | $1,861–$10,430 |
| Oregon (statewide) | 11 | $6,806 | $7,329 | $9,525 | $4,900–$12,956 |
| Pennsylvania (statewide) | 50 | $3,370 | $5,842 | $7,141 | $1,629–$12,845 |
| Philadelphia PA | 11 | $4,617 | $4,689 | $6,462 | $4,096–$11,208 |
| Phoenix AZ | 8 | $3,562 | $3,770 | $3,828 | $2,936–$4,000 |
| Pittsburgh PA | 12 | $2,810 | $4,504 | $5,344 | $1,936–$7,204 |
| Portland OR | 9 | $10,273 | $10,273 | $11,960 | $9,711–$11,960 |
| Research Triangle NC | 2 | — | — | — | $2,675–$6,856 |
| Rhode Island (statewide) | 4 | — | — | — | $3,900–$8,018 |
| Richmond VA | 3 | — | — | — | $6,380–$7,051 |
| Rio Grande Valley TX | 6 | $3,811 | $4,148 | $5,466 | $3,775–$5,830 |
| Salt Lake City UT | 9 | $2,712 | $2,712 | $2,712 | $2,587–$2,712 |
| San Antonio TX | 3 | — | — | — | $3,628–$4,807 |
| San Diego CA | 7 | $6,351 | $6,351 | $6,392 | $5,342–$6,889 |
| San Francisco Bay Area CA | 4 | — | — | — | $6,682–$22,041 |
| Seattle-Tacoma WA | 16 | $8,052 | $8,216 | $8,341 | $7,375–$10,219 |
| South Carolina (statewide) | 29 | $7,261 | $9,204 | $12,760 | $2,350–$14,603 |
| South Dakota (statewide) | 6 | $3,185 | $3,380 | $5,048 | $2,641–$5,821 |
| St. Louis MO | 8 | $5,879 | $6,188 | $11,035 | $4,953–$12,920 |
| Tampa FL | 6 | $8,481 | $8,481 | $8,481 | $3,812–$10,426 |
| Tennessee (statewide) | 27 | $2,767 | $3,147 | $3,662 | $2,218–$5,986 |
| Texas (statewide) | 85 | $3,797 | $4,723 | $5,198 | $2,035–$20,580 |
| Utah (statewide) | 7 | $2,606 | $2,712 | $2,712 | $2,587–$9,842 |
| Vermont (statewide) | 2 | — | — | — | $4,950–$5,929 |
| Virginia (statewide) | 22 | $7,370 | $9,536 | $11,047 | $4,936–$14,974 |
| Washington (statewide) | 17 | $5,804 | $7,468 | $8,700 | $2,788–$15,304 |
| Washington DC | 11 | $5,116 | $5,955 | $5,955 | $4,169–$6,372 |
| West Virginia (statewide) | 12 | $4,200 | $4,872 | $9,452 | $2,397–$19,338 |
| Wisconsin (statewide) | 43 | $5,780 | $7,004 | $7,250 | $1,543–$10,731 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| North Canyon Medical Center | Idaho (statewide) | $1,509 | 0.5× | 5 | 2026-04-13 |
| Tomah Memorial Hospital | Wisconsin (statewide) | $1,543 | 0.6× | 1 | 2026-06-30 |
| Madison County Health Care System | Iowa (statewide) | $1,554 | 0.6× | 3 | 2026-09-23 |
| Madison Hospital | Minnesota (statewide) | $1,554 | 0.5× | 3 | 2026-09-23 |
| Chi St Alexius Health Williston | North Dakota (statewide) | $1,587 | 0.5× | 3 | 2026-02-28 |
| Baptist Hospital | Florida (statewide) | $1,613 | 0.5× | 10 | 2025-12-23 |
| Jay Hospital | Florida (statewide) | $1,613 | 0.5× | 8 | 2025-12-23 |
| Oaklawn Hospital | Michigan (statewide) | $1,624 | 0.6× | 2 | 2026-03-27 |
| Gulf Breeze Hospital | Florida (statewide) | $1,628 | 0.5× | 8 | 2025-12-23 |
| Upmc Horizon | Pennsylvania (statewide) | $1,629 | 0.6× | 2 | 2026-03-06 |
| Dodge County Hospital | Georgia (statewide) | $1,700 | 0.7× | 1 | 2026-05-14 |
| Yuma Regional Medical Center | Arizona (statewide) | $1,766 | 0.6× | 2 | 2025-09-30 |
| Northeast Georgia Medical Center Barrow | Georgia (statewide) | $17,296 | 5.9× | 2 | 2026-04-01 |
| Northeast Georgia Medical Center Lumpkin | Georgia (statewide) | $17,296 | 5.9× | 2 | 2026-04-01 |
| Chi Health St Francis | Nebraska (statewide) | $18,020 | 6.0× | 6 | 2026-02-28 |
| Parkview Lagrange Hospital | Indiana (statewide) | $18,563 | 6.0× | 1 | 2026-09-01 |
| Logan Regional Medical Center | West Virginia (statewide) | $19,338 | 6.9× | 1 | 2026-04-01 |
| Parkview Wabash Hospital, Inc | Indiana (statewide) | $20,368 | 6.6× | 1 | 2026-09-01 |
| Franciscan Health Munster | Indiana (statewide) | $20,513 | 6.7× | 1 | 2026-01-01 |
| Parkview Regional Medical Center | Indiana (statewide) | $20,580 | 6.7× | 1 | 2026-09-01 |
| Parkview Hospital | Texas (statewide) | $20,580 | 7.0× | 1 | 2026-09-01 |
| Cedars-Sinai Medical Center | Los Angeles CA | $20,636 | 5.5× | 3 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $22,041 | 5.2× | 3 | 2026-04-01 |
| Franciscan Health Crown Point | Indiana (statewide) | $22,582 | 7.3× | 1 | 2026-01-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
CPT 20670: Removal of Plates Or Screws
1189 hospitals in 82 markets. National Medicare rate $1,687, surgery center $742.
| Market | Hospitals | 25th pct | Median | 75th pct | Low–high |
|---|---|---|---|---|---|
| Alabama (statewide) | 13 | $1,530 | $1,848 | $2,889 | $801–$4,994 |
| Alaska (statewide) | 3 | — | — | — | $2,050–$7,452 |
| Arizona (statewide) | 7 | $2,296 | $2,441 | $2,994 | $1,048–$3,945 |
| Arkansas (statewide) | 11 | $1,496 | $1,552 | $1,962 | $1,141–$2,935 |
| Atlanta GA | 6 | $3,320 | $3,320 | $3,373 | $3,320–$3,391 |
| Austin TX | 13 | $1,144 | $2,736 | $3,385 | $1,144–$3,454 |
| Boston MA | 13 | $2,160 | $2,713 | $3,049 | $1,376–$3,920 |
| California (statewide) | 61 | $2,984 | $4,781 | $6,131 | $1,948–$13,485 |
| Charlotte NC | 5 | $1,926 | $1,926 | $1,926 | $1,900–$1,926 |
| Chicago IL | 9 | $2,732 | $3,500 | $4,654 | $1,520–$5,166 |
| Cleveland OH | 11 | $2,176 | $2,525 | $2,811 | $1,860–$3,018 |
| Colorado (statewide) | 13 | $1,946 | $2,721 | $4,007 | $1,102–$5,596 |
| Columbus OH | 1 | — | — | — | $10,448–$10,448 |
| Connecticut (statewide) | 2 | — | — | — | $2,165–$2,418 |
| Dallas-Fort Worth TX | 14 | $2,832 | $2,970 | $3,272 | $2,480–$5,330 |
| Delaware (statewide) | 1 | — | — | — | $4,488–$4,488 |
| Denver CO | 15 | $2,282 | $4,007 | $4,063 | $1,102–$4,785 |
| Detroit MI | 15 | $1,884 | $2,103 | $2,103 | $1,018–$5,085 |
| Florida (statewide) | 59 | $2,820 | $3,558 | $3,844 | $1,527–$10,568 |
| Georgia (statewide) | 27 | $2,530 | $3,320 | $3,490 | $1,518–$8,775 |
| Hawaii (statewide) | 7 | $1,781 | $2,017 | $2,784 | $1,500–$3,434 |
| Houston TX | 19 | $2,508 | $2,530 | $2,800 | $2,353–$3,152 |
| Idaho (statewide) | 15 | $1,882 | $3,671 | $4,115 | $1,051–$5,894 |
| Illinois (statewide) | 31 | $2,269 | $2,906 | $3,752 | $1,488–$4,861 |
| Indiana (statewide) | 30 | $1,754 | $3,499 | $5,724 | $1,067–$8,220 |
| Indianapolis IN | 2 | — | — | — | $1,747–$4,994 |
| Iowa (statewide) | 27 | $2,328 | $3,188 | $3,552 | $821–$5,506 |
| Kansas (statewide) | 17 | $1,858 | $2,278 | $3,271 | $986–$7,452 |
| Kentucky (statewide) | 17 | $1,648 | $2,244 | $2,436 | $1,202–$2,892 |
| Las Vegas NV | 2 | — | — | — | $1,826–$2,766 |
| Los Angeles CA | 18 | $3,081 | $3,420 | $4,296 | $2,574–$13,493 |
| Louisiana (statewide) | 19 | $1,530 | $1,935 | $2,560 | $1,120–$4,411 |
| Maine (statewide) | 16 | $6,639 | $7,534 | $7,708 | $1,749–$9,691 |
| Maryland (statewide) | 1 | — | — | — | $1,011–$1,011 |
| Massachusetts (statewide) | 10 | $1,971 | $2,107 | $2,528 | $1,573–$2,886 |
| Miami-Fort Lauderdale FL | 1 | — | — | — | $2,300–$2,300 |
| Michigan (statewide) | 27 | $1,725 | $1,837 | $2,278 | $924–$3,244 |
| Minneapolis-St. Paul MN | 9 | $2,630 | $3,161 | $3,161 | $1,495–$3,706 |
| Minnesota (statewide) | 13 | $3,161 | $4,302 | $5,003 | $935–$5,994 |
| Mississippi (statewide) | 13 | $1,984 | $2,304 | $2,663 | $1,067–$4,504 |
| Missouri (statewide) | 19 | $2,150 | $2,923 | $3,144 | $1,502–$6,897 |
| Montana (statewide) | 5 | $3,268 | $3,402 | $4,725 | $2,025–$4,893 |
| Nashville TN | 8 | $1,964 | $2,186 | $2,494 | $1,217–$3,395 |
| Nebraska (statewide) | 17 | $2,702 | $3,047 | $3,278 | $1,149–$6,353 |
| Nevada (statewide) | 5 | $2,175 | $2,175 | $3,144 | $1,826–$3,278 |
| New Hampshire (statewide) | 6 | $2,685 | $4,716 | $6,403 | $1,983–$7,396 |
| New Jersey (statewide) | 28 | $2,834 | $4,019 | $6,104 | $1,770–$8,615 |
| New Mexico (statewide) | 8 | $3,146 | $4,506 | $6,422 | $1,355–$10,002 |
| New York (statewide) | 35 | $2,320 | $3,092 | $3,744 | $1,426–$6,835 |
| New York City | 9 | $2,394 | $2,396 | $4,181 | $1,961–$7,510 |
| North Carolina (statewide) | 2 | — | — | — | $1,728–$4,378 |
| North Dakota (statewide) | 6 | $2,502 | $2,873 | $3,499 | $2,376–$5,002 |
| Ohio (statewide) | 39 | $2,416 | $3,416 | $4,643 | $1,386–$6,348 |
| Oklahoma (statewide) | 12 | $3,152 | $3,317 | $3,432 | $1,297–$8,486 |
| Oregon (statewide) | 14 | $2,781 | $4,149 | $5,668 | $932–$7,486 |
| Pennsylvania (statewide) | 39 | $2,425 | $3,397 | $4,642 | $1,001–$7,304 |
| Philadelphia PA | 11 | $2,310 | $2,663 | $4,268 | $2,196–$6,872 |
| Phoenix AZ | 10 | $2,242 | $2,421 | $2,421 | $2,130–$3,545 |
| Pittsburgh PA | 10 | $1,916 | $2,550 | $3,286 | $1,256–$4,078 |
| Portland OR | 9 | $5,416 | $5,416 | $6,766 | $5,124–$6,766 |
| Research Triangle NC | 1 | — | — | — | $3,090–$3,090 |
| Rhode Island (statewide) | 5 | $2,411 | $4,052 | $4,099 | $2,218–$4,274 |
| Richmond VA | 3 | — | — | — | $3,534–$3,700 |
| Rio Grande Valley TX | 5 | $2,228 | $2,457 | $3,142 | $2,146–$3,142 |
| Salt Lake City UT | 9 | $1,753 | $1,753 | $1,753 | $1,476–$1,753 |
| San Antonio TX | 3 | — | — | — | $2,130–$2,800 |
| San Diego CA | 6 | $3,717 | $3,717 | $3,717 | $3,658–$3,917 |
| San Francisco Bay Area CA | 4 | — | — | — | $3,859–$13,980 |
| Seattle-Tacoma WA | 16 | $4,595 | $4,920 | $5,137 | $4,265–$6,863 |
| South Carolina (statewide) | 30 | $3,669 | $5,483 | $6,650 | $1,824–$8,667 |
| South Dakota (statewide) | 6 | $2,304 | $3,200 | $4,972 | $1,578–$5,821 |
| St. Louis MO | 5 | $6,188 | $6,188 | $6,188 | $1,711–$8,358 |
| Tampa FL | 6 | $3,650 | $3,650 | $3,650 | $2,190–$4,633 |
| Tennessee (statewide) | 27 | $1,685 | $2,051 | $2,352 | $1,541–$3,170 |
| Texas (statewide) | 75 | $2,359 | $2,800 | $2,961 | $943–$8,220 |
| Utah (statewide) | 7 | $1,536 | $1,753 | $1,753 | $1,476–$5,713 |
| Vermont (statewide) | 1 | — | — | — | $12,005–$12,005 |
| Virginia (statewide) | 17 | $3,981 | $5,068 | $5,226 | $2,640–$5,658 |
| Washington (statewide) | 17 | $3,510 | $4,278 | $4,703 | $1,335–$8,008 |
| Washington DC | 11 | $2,768 | $2,768 | $3,262 | $2,210–$4,391 |
| West Virginia (statewide) | 12 | $2,388 | $2,770 | $5,375 | $1,419–$10,995 |
| Wisconsin (statewide) | 38 | $3,006 | $3,006 | $4,682 | $1,341–$6,834 |
Lowest and highest 12 hospital medians
| Hospital | Market | Median across insurers | × Medicare | Insurers | File date |
|---|---|---|---|---|---|
| Usa Health University Hospital | Alabama (statewide) | $801 | 0.5× | 1 | 2026-04-30 |
| Story County Hospital | Iowa (statewide) | $821 | 0.5× | 1 | 2026-03-30 |
| Oaklawn Hospital | Michigan (statewide) | $924 | 0.6× | 2 | 2026-03-27 |
| Santiam Hospital & Clinics | Oregon (statewide) | $932 | 0.5× | 1 | 2026-08-06 |
| Madison County Health Care System | Iowa (statewide) | $935 | 0.6× | 3 | 2026-09-23 |
| Madison Hospital | Minnesota (statewide) | $935 | 0.6× | 3 | 2026-09-23 |
| Ennis Regional Medical Center | Texas (statewide) | $943 | 0.6× | 1 | 2026-04-01 |
| Washington County Hospital And Clinics | Iowa (statewide) | $946 | 0.6× | 1 | 2026-09-08 |
| Stanton County Hospital | Kansas (statewide) | $986 | 0.7× | 1 | 2026-09-18 |
| Troy Community Hospital | Pennsylvania (statewide) | $1,001 | 0.6× | 8 | 2026-03-31 |
| Atlantic General Hospital | Maryland (statewide) | $1,011 | 0.7× | 1 | 2026-04-10 |
| Henry Ford Health -St John Hospital | Detroit MI | $1,018 | 0.6× | 1 | 2026-01-01 |
| Northeast Georgia Medical Center Lumpkin | Georgia (statewide) | $8,775 | 5.3× | 1 | 2026-04-01 |
| Providence Redwood Memorial Hospital | California (statewide) | $9,044 | 4.3× | 3 | 2026-04-01 |
| University Of California Davis Medical Center | California (statewide) | $9,379 | 4.4× | 2 | 2026-04-01 |
| Mainehealth Lincoln Hospital | Maine (statewide) | $9,691 | 6.0× | 1 | 2025-09-09 |
| Los Alamos Medical Center | New Mexico (statewide) | $10,002 | 6.1× | 1 | 2026-07-10 |
| Mount Carmel East | Columbus OH | $10,448 | 6.6× | 22 | 2026-03-31 |
| Holy Cross Hospital | Florida (statewide) | $10,568 | 6.1× | 24 | 2026-03-31 |
| Logan Regional Medical Center | West Virginia (statewide) | $10,995 | 6.9× | 1 | 2026-04-01 |
| University Of Vermont Medical Center | Vermont (statewide) | $12,005 | 7.1× | 1 | 2026-04-28 |
| Saint Agnes Medical Center | California (statewide) | $13,485 | 6.3× | 4 | 2026-03-31 |
| Cedars-Sinai Medical Center | Los Angeles CA | $13,493 | 6.3× | 3 | 2025-11-26 |
| Stanford Health Care | San Francisco Bay Area CA | $13,980 | 5.8× | 4 | 2026-04-01 |
Every hospital is on its state's page (linked in the market table) and in the interactive explorer.
Questions
How much do commercial insurers pay hospitals for removal of plates or screws?
Across 1293 hospitals in 82 markets (metro areas and statewide) that post a usable dollar rate, the median commercial rate for CPT 20680, hospital outpatient is $5,148, 1.7× the same hospital's local Medicare base rate. The middle half of hospitals runs $3,570 to $7,250. 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: North Canyon Medical Center ($1,509), Tomah Memorial Hospital ($1,543), Madison County Health Care System ($1,554). Highest: Franciscan Health Crown Point ($22,582), Stanford Health Care ($22,041), Cedars-Sinai Medical Center ($20,636). Coverage: every hospital whose price file we could read.