How Much Does Orthopedic Hardware Removal Cost in Missouri?
Removal of implant deep
$3,362Hospital outpatient total2026 Medicare, physician + facilityUnder 2026 Medicare rates, orthopedic hardware removal costs up to about $3,362 in total at a hospital outpatient department or about $1,643 at an ambulatory surgery center, counting both the physician and the facility (national rates). The physician's own fee in Missouri averages $380, from $371 to $387 across 3 Medicare localities.
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- ✓The add-on codes that typically land on the bill
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Missouri Medicare physician rate (2026)
-5.3% vs nationalAverage of 3 localities. Office range $575.48–$612.70.
What the whole procedure costs
The rate above is the physician’s fee on its own. The facility bills separately, and for most procedures the facility is the larger half of the bill. These are 2026 national Medicare amounts.
Choosing a surgery center over a hospital saves about $1,719 on the Medicare allowed amount for orthopedic hardware removal. Ask whether your procedure can be done at an ambulatory surgery center.
Medicare may pay the facility separately for this code or package it into another service on the same day, so treat the facility share as an upper bound. Medicare allowed amounts are not what an uninsured patient is charged, and not a quote. Private plans typically allow more.
Your ZIP in Missouri
Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
What orthopedic hardware removal costs at hospitals near you
Everything above is a national average. The hospital you pick in Missouri moves the bill more than anything else you control.
Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.
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What these numbers are
Every figure on this page is a 2026 Medicare allowed amount: the physician line comes from the Physician Fee Schedule adjusted by geographic practice-cost indices, and the facility totals come from the CMS hospital outpatient (OPPS) and ambulatory surgery center rates. None of them is a hospital chargemaster price, your insurer's contracted rate, or a quote. Anesthesia, pathology, imaging reads and follow-up care are billed under their own codes when they apply, and an inpatient stay is paid a different way again. In Missouri the office and hospital physician lines for this CPT differ by $217.92.
National vs Missouri
Where Missouri ranks for this CPT
CPT 20680 by Missouri locality
| Locality | Office |
|---|---|
| metropolitan st. louis | $612.70 |
| metropolitan kansas city | $606.58 |
| rest of missouri | $575.48 |
PE GPCI ranges from 0.862 to 0.952 in Missouri. That index is why the same CPT is not one price statewide.
Orthopedic Hardware Removal and how Missouri is priced
Missouri is a three-locality state: metropolitan St. Louis and metropolitan Kansas City are each priced separately, and everywhere else falls into a rest-of-state locality with lower geographic adjustments. Both metro localities approve higher amounts than outstate Missouri, and the Kansas City locality applies only to the Missouri side of that metro, since the Kansas side prices under Kansas's statewide locality. Springfield, Columbia, and the rural counties all share rest-of-state factors. The metro-versus-outstate gap is the main pricing story here.
St. Louis and Kansas City hold the state's academic medical centers and most of its specialty depth, drawing patients from far beyond Missouri's borders, including southern Illinois and eastern Kansas. Outstate Missouri is served by regional hubs in Springfield, Columbia, and Cape Girardeau, with the Ozarks and Bootheel among the harder places to reach specialty care. Rural hospital viability has been a persistent concern across the state.
This procedure: CPT 20680 is the removal of deep orthopedic hardware, such as a rod, plate, screws or pins that were placed to fix a broken bone. Hardware is taken out when it causes pain or irritation, becomes infected, or limits movement, and sometimes after a fracture has fully healed in younger patients. It is usually an outpatient operation under anesthesia, and the size of the job depends on the implant: removing a long rod from the thigh bone is a bigger operation than taking out a few screws from the ankle.
What Is Orthopedic Hardware Removal?
CPT 20680 is the removal of deep orthopedic hardware, such as a rod, plate, screws or pins that were placed to fix a broken bone. Hardware is taken out when it causes pain or irritation, becomes infected, or limits movement, and sometimes after a fracture has fully healed in younger patients. It is usually an outpatient operation under anesthesia, and the size of the job depends on the implant: removing a long rod from the thigh bone is a bigger operation than taking out a few screws from the ankle.
What Affects the Cost
- –The size and location of the implant drive operating time: removing an intramedullary rod from the femur takes longer than removing a small ankle plate.
- –Hardware removed through separate incisions can be billed more than once in the same operation.
- –Anesthesia is billed separately by the anesthesia provider.
- –Surgery centers typically have lower facility fees than hospital outpatient departments.
- –If infection is found, cultures, antibiotics and sometimes a hospital stay add to the total.
Questions to Ask Before Booking
- 1.What is causing my symptoms, and is removal likely to help?
- 2.Is all of the hardware coming out, and through how many incisions?
- 3.Will this be done at a surgery center or a hospital?
- 4.Will I need crutches, a brace or physical therapy afterward?
- 5.Is the anesthesia group in my network?
Other featured procedures in Missouri
Orthopedic Hardware Removal in other states
Orthopedic Hardware Removal in Missouri: questions
Under 2026 Medicare rates, orthopedic hardware removal costs up to about $3,362 in total at a hospital outpatient department or about $1,643 at an ambulatory surgery center, counting both the physician and the facility (national rates). The physician's own fee in Missouri averages $380, from $371 to $387 across 3 Medicare localities. Enter a ZIP for the exact Missouri locality.
Yes. CMS splits Missouri into 3 payment localities. For this CPT the office physician fee spans $37.22 from the lowest to highest locality. Enter a ZIP code to see which Missouri locality covers you: metro St. Louis, metro Kansas City, or rest-of-state areas like Springfield, Columbia, Joplin, and the Bootheel.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $120 for the office physician line or $76 for the hospital physician line in Missouri. Medigap may cover that 20%. This is not the hospital facility fee.
No. $380.33 is only the physician's share. Adding Medicare's facility payment brings the total to up to about $3,362 in a hospital outpatient department, or about $1,643 at an ambulatory surgery center. Anesthesia, pathology and other codes billed the same day are extra. Missouri ranks #17 of 51 states on the physician line (5% below the national office rate of $631.95).