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Procedure price report · Other OR therapeutic procedures on bone

Removal of a deeply placed plate, rod, screw, or nail

CPT 20680the billing code this page is about

Surgical removal of an orthopedic implant set deep in bone or beneath muscle, such as a plate, rod, or intramedullary nail.

Hospitals typically charge $2,891 cash for this outpatient procedure — the median across 1,590 hospitals that filed a usable cash price; the average of the middle 60% is $3,086. Most fall between $1,021 and $6,379 (20th–80th percentile).

Hospitals
1,590
States
50
Filings dated
Aug 2022 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 24, 2026

Median: half of hospitals filed less, half more — and it is a price some hospital actually filed. Average of the middle 60%: the mean of the prices between the 20th and 80th percentiles. We never publish the plain average, the lowest or the highest price: the extremes in hospital price files are chargemaster artefacts, not prices anyone pays.

What hospitals charge, from cheapest to most expensive

Cash price percentiles, outpatient, across 1,590 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$654$1,229$2,891$5,470$10,696

The most expensive tenth of hospitals charges at least 16× what the cheapest tenth charges ($654 vs $10,696).

How the prices are spread

$474 – $669: 86 hospitals$474$669 – $943: 120 hospitals$943 – $1,331: 144 hospitals$943$1,331 – $1,878: 151 hospitals$1,878 – $2,650: 143 hospitals$1,878$2,650 – $3,739: 252 hospitals$3,739 – $5,276: 188 hospitals$3,739$5,276 – $7,444: 155 hospitals$7,444 – $10,503: 107 hospitals$7,444$10,503 – $14,820: 86 hospitals$10,503median $2,891price bands are equal on a log scale
Hospitals per price band (1,432 of 1,590 — the bands cover the 5th to 95th percentile)
FromToHospitals
$474$66986
$669$943120
$943$1,331144
$1,331$1,878151
$1,878$2,650143
$2,650$3,739252
$3,739$5,276188
$5,276$7,444155
$7,444$10,503107
$10,503$14,82086

Against Medicare

Medicare pays (OPPS 2026, national rate)$2,968
Median cash price$2,891
Cash as a multiple of Medicare0.97×

The Medicare figure is the national unadjusted OPPS rate for this code — what Medicare itself pays a hospital before local wage adjustment. It is a benchmark, not a price anyone is charged.

By state

The median cash price in each state, against the national median of $2,891.

Alaska: median $3,876 across 11 hospitalsAK$3,876Maine: median $815 across 11 hospitalsME$815Vermont: median $812 across 11 hospitalsVT$812New Hampshire: median $618 across 13 hospitalsNH$618Washington: median $2,758 across 55 hospitalsWA$2,758Idaho: median $2,605 across 20 hospitalsID$2,605Montana: median $795 across 16 hospitalsMT$795North Dakota: median $2,944 across 13 hospitalsND$2,944Minnesota: median $1,572 across 60 hospitalsMN$1,572Illinois: median $2,295 across 56 hospitalsIL$2,295Wisconsin: median $2,712 across 59 hospitalsWI$2,712Michigan: median $2,700 across 53 hospitalsMI$2,700New York: median $3,387 across 77 hospitalsNY$3,387Massachusetts: median $4,380 across 33 hospitalsMA$4,380Oregon: median $1,730 across 41 hospitalsOR$1,730Nevada: median $2,201 across 11 hospitalsNV$2,201Wyoming: 9 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: median $6,586 across 11 hospitalsSD$6,586Iowa: median $1,506 across 59 hospitalsIA$1,506Indiana: median $1,282 across 46 hospitalsIN$1,282Ohio: median $5,566 across 73 hospitalsOH$5,566Pennsylvania: median $2,969 across 58 hospitalsPA$2,969New Jersey: median $3,718 across 42 hospitalsNJ$3,718Connecticut: median $3,312 across 15 hospitalsCT$3,312Rhode Island: 2 hospitals filed a usable price — fewer than 10, so no figureRICalifornia: median $5,288 across 99 hospitalsCA$5,288Utah: 6 hospitals filed a usable price — fewer than 10, so no figureUTColorado: median $2,224 across 32 hospitalsCO$2,224Nebraska: median $1,757 across 32 hospitalsNE$1,757Missouri: median $3,180 across 42 hospitalsMO$3,180Kentucky: median $1,706 across 22 hospitalsKY$1,706West Virginia: median $2,870 across 28 hospitalsWV$2,870Virginia: median $4,391 across 40 hospitalsVA$4,391Maryland: 4 hospitals filed a usable price — fewer than 10, so no figureMDDelaware: 6 hospitals filed a usable price — fewer than 10, so no figureDEArizona: median $7,754 across 23 hospitalsAZ$7,754New Mexico: median $3,334 across 12 hospitalsNM$3,334Kansas: median $1,114 across 32 hospitalsKS$1,114Arkansas: median $1,578 across 14 hospitalsAR$1,578Tennessee: median $3,729 across 23 hospitalsTN$3,729North Carolina: median $2,274 across 31 hospitalsNC$2,274South Carolina: median $4,651 across 24 hospitalsSC$4,651Oklahoma: median $723 across 25 hospitalsOK$723Louisiana: median $2,131 across 30 hospitalsLA$2,131Mississippi: median $2,299 across 24 hospitalsMS$2,299Alabama: median $2,970 across 20 hospitalsAL$2,970Georgia: median $2,899 across 35 hospitalsGA$2,899Hawaii: 9 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $3,050 across 87 hospitalsTX$3,050Florida: median $5,071 across 35 hospitalsFL$5,071
Cash price by state, most expensive first. National median $2,891. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Arizona AZ23$7,754+168%$2,043 – $16,017
South Dakota SD11$6,586+128%$1,995 – $6,586
Ohio OH73$5,566+93%$2,254 – $11,908
California CA99$5,288+83%$1,801 – $12,130
Florida FL35$5,071+75%$2,521 – $10,696
South Carolina SC24$4,651+61%$2,224 – $5,016
Virginia VA40$4,391+52%$2,444 – $8,984
Massachusetts MA33$4,380+52%$2,314 – $8,887
Alaska AK11$3,876+34%$3,337 – $5,037
Tennessee TN23$3,729+29%$1,065 – $7,472
New Jersey NJ42$3,718+29%$3,168 – $5,741
New York NY77$3,387+17%$752 – $5,470
New Mexico NM12$3,334+15%$1,305 – $16,692
Connecticut CT15$3,312+15%$2,260 – $5,428
Missouri MO42$3,180+10%$876 – $8,836
Texas TX87$3,050+6%$2,691 – $5,931
Alabama AL20$2,970+3%$1,827 – $8,018
Pennsylvania PA58$2,969+3%$685 – $6,163
North Dakota ND13$2,944+2%$1,728 – $4,435
Georgia GA35$2,8990%$1,394 – $9,074
West Virginia WV28$2,870−1%$773 – $4,904
Washington WA55$2,758−5%$1,095 – $5,837
Wisconsin WI59$2,712−6%$1,095 – $3,194
Michigan MI53$2,700−7%$894 – $4,043
Idaho ID20$2,605−10%$942 – $6,379
Mississippi MS24$2,299−20%$582 – $8,067
Illinois IL56$2,295−21%$878 – $4,588
North Carolina NC31$2,274−21%$508 – $5,448
Colorado CO32$2,224−23%$1,175 – $5,981
Nevada NV11$2,201−24%$1,408 – $4,019
Louisiana LA30$2,131−26%$1,012 – $4,059
Nebraska NE32$1,757−39%$1,018 – $2,851
Oregon OR41$1,730−40%$1,095 – $6,970
Kentucky KY22$1,706−41%$599 – $11,492
Arkansas AR14$1,578−45%$977 – $3,525
Minnesota MN60$1,572−46%$895 – $3,305
Iowa IA59$1,506−48%$1,032 – $4,071
Indiana IN46$1,282−56%$708 – $8,027
Kansas KS32$1,114−61%$600 – $3,168
Maine ME11$815−72%$560 – $1,553
Vermont VT11$812−72%$516 – $1,630
Montana MT16$795−73%$466 – $2,714
Oklahoma OK25$723−75%$723 – $4,979
New Hampshire NH13$618−79%$376 – $2,308
Hawaii HI9not enough hospitals filed a usable price
Wyoming WY9not enough hospitals filed a usable price
Delaware DE6not enough hospitals filed a usable price
Utah UT6not enough hospitals filed a usable price
Maryland MD4not enough hospitals filed a usable price
Rhode Island RI2not enough hospitals filed a usable price

Hospitals like yours

The same distribution cut by the kind of hospital. Hospital type and ownership come from CMS; a hospital counts as part of a system when its price file is shared with at least one other hospital under the same brand. The national median is $2,891.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care1,119$3,436$1,322 – $7,926
Children’s41$2,438$1,444 – $3,827
Critical access425$1,421$773 – $3,572
Ownership
For-profit186$4,757$2,201 – $11,908
Government308$1,689$823 – $3,818
Non-profit1,091$2,995$1,035 – $6,380
System affiliation
Part of a system1,239$3,159$1,132 – $6,970
Independent351$1,747$786 – $4,293

Cash price vs list price

Median list price (chargemaster)$4,650
Median cash price$2,891
Cash as a share of list, median hospital62%

At the typical hospital, asking for the cash price cuts the list price by about 38%. The share is the median of each hospital’s own cash ÷ list ratio, over hospitals that filed both — not the ratio of the two medians above.

The same procedure, inpatient

893 hospitals filed a usable inpatient cash price for this code. The median is $2,761 and the average of the middle 60% is $2,928; most fall between $886 and $5,837.

Cash price percentiles, inpatient, across 893 hospitals. Each figure is a price a hospital filed. 10th: one in ten hospitals charges less; 25th: a quarter charge less; Median: half charge less; 75th: three quarters charge less; 90th: nine in ten charge less.
10th25thMedian75th90th
$560$1,095$2,761$5,261$8,557

The most expensive tenth of hospitals charges at least 15× what the cheapest tenth charges ($560 vs $8,557).

Of the 985 hospitals that filed this code inpatient, 893 gave a usable cash price; 41 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 51 a list price only.

How complete is this

1,590 of the 3,956 hospitals with a price file in our corpus (40%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 1,749 hospitals that filed this code at all gave us
Usable cash price — counted1,590
Cash price carrying a plausibility flag — shown on the compare tool, excluded here80
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded9
A list price only, no cash figure — excluded69
Hospitals that filed this code1,749

Sections not shown for this setting

  • Since our last snapshot: there is no earlier snapshot at least 90 days older than this one yet.

We last checked these hospitals’ price files for changes between September 4, 2026 and September 24, 2026; the figures were computed September 25, 2026 from filings loaded through September 24, 2026. The percentiles and averages use only the “counted” row.

Related procedures

Part of the Other OR therapeutic procedures on bone family.

Hospitals file this code under descriptions such as PR Removal Deep Implant.

Method

Source
The machine-readable price files every U.S. hospital is required by CMS to publish, parsed per hospital. Nothing is surveyed, sampled or modelled.
What counts
One cash (self-pay) price per hospital for this code and setting. A hospital’s own filing can rule its number out — a placeholder, a “not applicable” note, a list price standing in for cash — and our plausibility checks can flag a price far below what every other hospital files. Both kinds are disclosed above and excluded from the statistics; on the compare tool a flagged price is still shown.
Statistics
Percentiles are discrete: each is a price some hospital filed. The average is the mean of the prices between the 20th and 80th percentiles. We never publish the plain mean, the minimum or the maximum. A state needs 10 hospitals and a segment 20 to show a figure; otherwise the row shows its count and no number. Medicare is the national unadjusted OPPS rate where one exists.
Names
Procedure names on these pages are our own plain-language titles, not the AMA’s copyrighted CPT descriptors. The code is the identity.

The full rules — sources, statistics, thresholds, limitations — are on the methodology page.

Download this page’s figures: JSON · CSV. Aggregates only — the per-hospital prices are on the compare tool.

Cite: HospitalRates.com, “Removal of a deeply placed plate, rod, screw, or nail (CPT 20680) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-20680-removal-of-a-deeply-placed-plate-rod-screw-or-nail