HRHospitalRates.comCompare prices

Procedure price report · Other OR therapeutic procedures on bone

Adjustment of external bone fixator under anesthesia

CPT 20693the billing code this page is about

Adjustment or revision of an external frame holding broken or realigned bone, done as a separate procedure that requires anesthesia.

Hospitals typically charge $2,881 cash for this outpatient procedure — the median across 473 hospitals that filed a usable cash price; the average of the middle 60% is $3,868. Most fall between $839 and $9,585 (20th–80th percentile).

Hospitals
473
States
48
Filings dated
Jun 2024 – Sep 2026
Computed
September 25, 2026
Prices checked
through September 23, 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 473 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
$576$1,002$2,881$8,429$13,490

The most expensive tenth of hospitals charges at least 23× what the cheapest tenth charges ($576 vs $13,490).

How the prices are spread

$430 – $614: 27 hospitals$430$614 – $879: 56 hospitals$879 – $1,256: 47 hospitals$879$1,256 – $1,796: 34 hospitals$1,796 – $2,568: 36 hospitals$1,796$2,568 – $3,671: 32 hospitals$3,671 – $5,249: 39 hospitals$3,671$5,249 – $7,504: 51 hospitals$7,504 – $10,729: 47 hospitals$7,504$10,729 – $15,340: 60 hospitals$10,729median $2,881price bands are equal on a log scale
Hospitals per price band (429 of 473 — the bands cover the 5th to 95th percentile)
FromToHospitals
$430$61427
$614$87956
$879$1,25647
$1,256$1,79634
$1,796$2,56836
$2,568$3,67132
$3,671$5,24939
$5,249$7,50451
$7,504$10,72947
$10,729$15,34060

Against Medicare

Medicare pays (OPPS 2026, national rate)$7,413
Median cash price$2,881
Cash as a multiple of Medicare0.39×

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 $2,881.

Alaska: 6 hospitals filed a usable price — fewer than 10, so no figureAKMaine: 2 hospitals filed a usable price — fewer than 10, so no figureMEVermont: 3 hospitals filed a usable price — fewer than 10, so no figureVTNew Hampshire: 4 hospitals filed a usable price — fewer than 10, so no figureNHWashington: median $8,429 across 14 hospitalsWA$8,429Idaho: 9 hospitals filed a usable price — fewer than 10, so no figureIDMontana: 3 hospitals filed a usable price — fewer than 10, so no figureMTNorth Dakota: 2 hospitals filed a usable price — fewer than 10, so no figureNDMinnesota: median $2,232 across 14 hospitalsMN$2,232Illinois: median $990 across 17 hospitalsIL$990Wisconsin: median $2,771 across 31 hospitalsWI$2,771Michigan: median $2,238 across 18 hospitalsMI$2,238New York: median $8,454 across 33 hospitalsNY$8,454Massachusetts: 1 hospital filed a usable price — fewer than 10, so no figureMAOregon: median $1,477 across 20 hospitalsOR$1,477Nevada: 3 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 3 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureSDIowa: median $1,097 across 17 hospitalsIA$1,097Indiana: 8 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $1,576 across 14 hospitalsOH$1,576Pennsylvania: median $3,648 across 34 hospitalsPA$3,648New Jersey: median $6,839 across 24 hospitalsNJ$6,839Connecticut: 1 hospital filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $13,017 across 45 hospitalsCA$13,017Utah: no hospital in the corpus filed a usable priceUTColorado: 2 hospitals filed a usable price — fewer than 10, so no figureCONebraska: 5 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 8 hospitals filed a usable price — fewer than 10, so no figureMOKentucky: 6 hospitals filed a usable price — fewer than 10, so no figureKYWest Virginia: 6 hospitals filed a usable price — fewer than 10, so no figureWVVirginia: 5 hospitals filed a usable price — fewer than 10, so no figureVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: 1 hospital filed a usable price — fewer than 10, so no figureDEArizona: 4 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 3 hospitals filed a usable price — fewer than 10, so no figureNMKansas: 6 hospitals filed a usable price — fewer than 10, so no figureKSArkansas: 3 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureNCSouth Carolina: 4 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $739 across 14 hospitalsOK$739Louisiana: 8 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: 1 hospital filed a usable price — fewer than 10, so no figureMSAlabama: 4 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 8 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 4 hospitals filed a usable price — fewer than 10, so no figureHITexas: median $5,887 across 29 hospitalsTX$5,887Florida: median $7,159 across 14 hospitalsFL$7,159
Cash price by state, most expensive first. National median $2,881. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
California CA45$13,017+352%$1,404 – $13,490
New York NY33$8,454+193%$825 – $8,613
Washington WA14$8,429+193%$1,080 – $15,310
Florida FL14$7,159+148%$1,576 – $11,436
New Jersey NJ24$6,839+137%$4,881 – $7,914
Texas TX29$5,887+104%$4,467 – $9,585
Pennsylvania PA34$3,648+27%$307 – $11,093
Wisconsin WI31$2,771−4%$2,238 – $7,436
Michigan MI18$2,238−22%$845 – $9,978
Minnesota MN14$2,232−23%$1,132 – $2,232
Ohio OH14$1,576−45%$948 – $6,831
Oregon OR20$1,477−49%$839 – $16,709
Iowa IA17$1,097−62%$1,097 – $1,097
Illinois IL17$990−66%$456 – $1,317
Oklahoma OK14$739−74%$739 – $5,964
Idaho ID9not enough hospitals filed a usable price
Georgia GA8not enough hospitals filed a usable price
Indiana IN8not enough hospitals filed a usable price
Louisiana LA8not enough hospitals filed a usable price
Missouri MO8not enough hospitals filed a usable price
Alaska AK6not enough hospitals filed a usable price
Kansas KS6not enough hospitals filed a usable price
Kentucky KY6not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
West Virginia WV6not enough hospitals filed a usable price
Nebraska NE5not enough hospitals filed a usable price
Virginia VA5not enough hospitals filed a usable price
Alabama AL4not enough hospitals filed a usable price
Arizona AZ4not enough hospitals filed a usable price
Hawaii HI4not enough hospitals filed a usable price
North Carolina NC4not enough hospitals filed a usable price
New Hampshire NH4not enough hospitals filed a usable price
South Carolina SC4not enough hospitals filed a usable price
Arkansas AR3not enough hospitals filed a usable price
Montana MT3not enough hospitals filed a usable price
New Mexico NM3not enough hospitals filed a usable price
Nevada NV3not enough hospitals filed a usable price
Vermont VT3not enough hospitals filed a usable price
Wyoming WY3not enough hospitals filed a usable price
Colorado CO2not enough hospitals filed a usable price
Maine ME2not enough hospitals filed a usable price
North Dakota ND2not enough hospitals filed a usable price
Connecticut CT1not enough hospitals filed a usable price
Delaware DE1not enough hospitals filed a usable price
Massachusetts MA1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Mississippi MS1not enough hospitals filed a usable price
South Dakota SD1not 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 $2,881.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care376$3,648$839 – $9,585
Children’s17fewer than 20 hospitals
Critical access80$2,232$845 – $7,436
Ownership
For-profit45$3,560$739 – $11,620
Government69$1,283$809 – $7,171
Non-profit359$3,648$839 – $9,978
System affiliation
Part of a system381$3,787$845 – $10,945
Independent92$1,399$803 – $6,831

Cash price vs list price

Median list price (chargemaster)$2,765
Median cash price$2,881
Cash as a share of list, median hospital65%

At the typical hospital, asking for the cash price cuts the list price by about 35%. 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

279 hospitals filed a usable inpatient cash price for this code. The median is $2,836 and the average of the middle 60% is $3,957; most fall between $803 and $12,319.

Cash price percentiles, inpatient, across 279 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
$488$839$2,836$9,585$14,415

The most expensive tenth of hospitals charges at least 30× what the cheapest tenth charges ($488 vs $14,415).

Of the 307 hospitals that filed this code inpatient, 279 gave a usable cash price; 17 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 11 a list price only.

How complete is this

473 of the 3,956 hospitals with a price file in our corpus (12%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 527 hospitals that filed this code at all gave us
Usable cash price — counted473
Cash price carrying a plausibility flag — shown on the compare tool, excluded here36
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded3
A list price only, no cash figure — excluded14
Hospitals that filed this code527

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 23, 2026; the figures were computed September 25, 2026 from filings loaded through September 23, 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 Adjustment/Revj Xtrnl Fixation System Req Anes.

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, “Adjustment of external bone fixator under anesthesia (CPT 20693) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-20693-adjustment-of-external-bone-fixator-under-anesthesia