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Procedure price report · Other OR therapeutic procedures on bone

Each extra strut exchange on a computer-guided bone fixator

CPT 20697the billing code this page is about

Billed once for each additional strut exchanged or adjusted on a computer-guided external fixation frame, in addition to the main frame service.

Hospitals typically charge $3,375 cash for this outpatient procedure — the median across 313 hospitals that filed a usable cash price; the average of the middle 60% is $3,295. Most fall between $1,798 and $4,881 (20th–80th percentile).

Hospitals
313
States
40
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 313 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
$1,555$1,894$3,375$4,833$6,849

The most expensive tenth of hospitals charges at least 4.4× what the cheapest tenth charges ($1,555 vs $6,849).

How the prices are spread

$708 – $919: 14 hospitals$708$919 – $1,193: 1 hospitals$1,193 – $1,549: 9 hospitals$1,193$1,549 – $2,011: 68 hospitals$2,011 – $2,611: 28 hospitals$2,011$2,611 – $3,389: 30 hospitals$3,389 – $4,401: 53 hospitals$3,389$4,401 – $5,714: 62 hospitals$5,714 – $7,418: 12 hospitals$5,714$7,418 – $9,631: 14 hospitals$7,418median $3,375price bands are equal on a log scale
Hospitals per price band (291 of 313 — the bands cover the 5th to 95th percentile)
FromToHospitals
$708$91914
$919$1,1931
$1,193$1,5499
$1,549$2,01168
$2,011$2,61128
$2,611$3,38930
$3,389$4,40153
$4,401$5,71462
$5,714$7,41812
$7,418$9,63114

Against Medicare

Medicare pays (OPPS 2026, national rate)$1,643
Median cash price$3,375
Cash as a multiple of Medicare2.1×

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 $3,375.

Alaska: 1 hospital filed a usable price — fewer than 10, so no figureAKMaine: no hospital in the corpus filed a usable priceMEVermont: 1 hospital filed a usable price — fewer than 10, so no figureVTNew Hampshire: no hospital in the corpus filed a usable priceNHWashington: 4 hospitals filed a usable price — fewer than 10, so no figureWAIdaho: 7 hospitals filed a usable price — fewer than 10, so no figureIDMontana: no hospital in the corpus filed a usable priceMTNorth Dakota: 1 hospital filed a usable price — fewer than 10, so no figureNDMinnesota: 2 hospitals filed a usable price — fewer than 10, so no figureMNIllinois: median $2,478 across 15 hospitalsIL$2,478Wisconsin: median $21,530 across 11 hospitalsWI$21,530Michigan: median $2,407 across 11 hospitalsMI$2,407New York: median $1,894 across 22 hospitalsNY$1,894Massachusetts: 2 hospitals filed a usable price — fewer than 10, so no figureMAOregon: 8 hospitals filed a usable price — fewer than 10, so no figureORNevada: 2 hospitals filed a usable price — fewer than 10, so no figureNVWyoming: 2 hospitals filed a usable price — fewer than 10, so no figureWYSouth Dakota: no hospital in the corpus filed a usable priceSDIowa: median $4,927 across 14 hospitalsIA$4,927Indiana: 2 hospitals filed a usable price — fewer than 10, so no figureINOhio: median $3,527 across 31 hospitalsOH$3,527Pennsylvania: median $3,016 across 10 hospitalsPA$3,016New Jersey: median $4,627 across 29 hospitalsNJ$4,627Connecticut: 4 hospitals filed a usable price — fewer than 10, so no figureCTRhode Island: no hospital in the corpus filed a usable priceRICalifornia: median $4,833 across 25 hospitalsCA$4,833Utah: median $3,395 across 22 hospitalsUT$3,395Colorado: 1 hospital filed a usable price — fewer than 10, so no figureCONebraska: 4 hospitals filed a usable price — fewer than 10, so no figureNEMissouri: 1 hospital filed a usable price — fewer than 10, so no figureMOKentucky: 1 hospital filed a usable price — fewer than 10, so no figureKYWest Virginia: no hospital in the corpus filed a usable priceWVVirginia: no hospital in the corpus filed a usable priceVAMaryland: 1 hospital filed a usable price — fewer than 10, so no figureMDDelaware: no hospital in the corpus filed a usable priceDEArizona: 2 hospitals filed a usable price — fewer than 10, so no figureAZNew Mexico: 2 hospitals filed a usable price — fewer than 10, so no figureNMKansas: no hospital in the corpus filed a usable priceKSArkansas: 2 hospitals filed a usable price — fewer than 10, so no figureARTennessee: 6 hospitals filed a usable price — fewer than 10, so no figureTNNorth Carolina: median $708 across 11 hospitalsNC$708South Carolina: 5 hospitals filed a usable price — fewer than 10, so no figureSCOklahoma: median $3,034 across 12 hospitalsOK$3,034Louisiana: 7 hospitals filed a usable price — fewer than 10, so no figureLAMississippi: no hospital in the corpus filed a usable priceMSAlabama: 2 hospitals filed a usable price — fewer than 10, so no figureALGeorgia: 9 hospitals filed a usable price — fewer than 10, so no figureGAHawaii: 1 hospital filed a usable price — fewer than 10, so no figureHITexas: median $1,555 across 18 hospitalsTX$1,555Florida: 2 hospitals filed a usable price — fewer than 10, so no figureFL
Cash price by state, most expensive first. National median $3,375. A state needs at least 10 hospitals with a usable price to show a figure.
StateHospitalsMedianvs national20th–80th
Wisconsin WI11$21,530+538%$21,530 – $21,530
Iowa IA14$4,927+46%$2,532 – $4,927
California CA25$4,833+43%$4,306 – $4,833
New Jersey NJ29$4,627+37%$1,773 – $6,439
Ohio OH31$3,527+4%$3,375 – $4,785
Utah UT22$3,395+1%$3,395 – $4,265
Oklahoma OK12$3,034−10%$3,034 – $3,034
Pennsylvania PA10$3,016−11%$2,320 – $7,646
Illinois IL15$2,478−27%$1,438 – $4,269
Michigan MI11$2,407−29%$2,211 – $3,210
New York NY22$1,894−44%$1,894 – $3,652
Texas TX18$1,555−54%$1,555 – $2,521
North Carolina NC11$708−79%$708 – $708
Georgia GA9not enough hospitals filed a usable price
Oregon OR8not enough hospitals filed a usable price
Idaho ID7not enough hospitals filed a usable price
Louisiana LA7not enough hospitals filed a usable price
Tennessee TN6not enough hospitals filed a usable price
South Carolina SC5not enough hospitals filed a usable price
Connecticut CT4not enough hospitals filed a usable price
Nebraska NE4not enough hospitals filed a usable price
Washington WA4not enough hospitals filed a usable price
Alabama AL2not enough hospitals filed a usable price
Arkansas AR2not enough hospitals filed a usable price
Arizona AZ2not enough hospitals filed a usable price
Florida FL2not enough hospitals filed a usable price
Indiana IN2not enough hospitals filed a usable price
Massachusetts MA2not enough hospitals filed a usable price
Minnesota MN2not enough hospitals filed a usable price
New Mexico NM2not enough hospitals filed a usable price
Nevada NV2not enough hospitals filed a usable price
Wyoming WY2not enough hospitals filed a usable price
Alaska AK1not enough hospitals filed a usable price
Colorado CO1not enough hospitals filed a usable price
Hawaii HI1not enough hospitals filed a usable price
Kentucky KY1not enough hospitals filed a usable price
Maryland MD1not enough hospitals filed a usable price
Missouri MO1not enough hospitals filed a usable price
North Dakota ND1not enough hospitals filed a usable price
Vermont VT1not 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 $3,375.

Cash price by hospital segment. A segment needs at least 20 hospitals to show a figure.
SegmentHospitalsMedian20th–80th
Hospital type
Acute care266$3,085$1,773 – $4,833
Children’s22$6,849$3,508 – $8,569
Critical access25$3,395$1,845 – $4,436
Ownership
For-profit30$2,554$1,555 – $4,229
Government44$1,894$708 – $3,659
Non-profit239$3,527$1,856 – $4,927
System affiliation
Part of a system273$3,395$1,845 – $4,881
Independent40$2,554$1,747 – $4,842

Cash price vs list price

Median list price (chargemaster)$4,732
Median cash price$3,375
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

209 hospitals filed a usable inpatient cash price for this code. The median is $3,395 and the average of the middle 60% is $3,485; most fall between $1,747 and $4,833.

Cash price percentiles, inpatient, across 209 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
$1,438$1,845$3,395$4,785$4,927

The most expensive tenth of hospitals charges at least 3.4× what the cheapest tenth charges ($1,438 vs $4,927).

Of the 227 hospitals that filed this code inpatient, 209 gave a usable cash price; 8 carried a plausibility flag, 0 filed a number their own filing marks as not a price, 0 gave an estimate, and 10 a list price only.

How complete is this

313 of the 3,956 hospitals with a price file in our corpus (8%) filed a usable outpatient cash price for this code, and those are the hospitals every figure on this page is computed from.

What the 339 hospitals that filed this code at all gave us
Usable cash price — counted313
Cash price carrying a plausibility flag — shown on the compare tool, excluded here15
A number the filing itself marks as not a price (a placeholder, a ratio) — excluded1
An estimate rather than a filed cash price — excluded0
A list price only, no cash figure — excluded10
Hospitals that filed this code339

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 5, 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 PR Xtrnl Fixj W/Strtctc Adjustment Exchange Strut.

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, “Each extra strut exchange on a computer-guided bone fixator (CPT 20697) — cash price report,” computed September 25, 2026. https://hospitalrates.com/procedures/cpt-20697-each-extra-strut-exchange-on-a-computer-guided-bone-fixator