CPT20680

How Much Does Orthopedic Hardware Removal Cost in New Jersey?

Removal of implant deep

$3,362Hospital outpatient total2026 Medicare, physician + facility

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 New Jersey averages $428, from $421 to $436 across 2 Medicare localities.

Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers. For example 07001.
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New Jersey Medicare physician rate (2026)

+10.1% vs national

Average of 2 localities. Office range $680.17–$710.98.

New Jersey (Hospital)
$428.17
Facility physician fee
Private plan est.
$904–$1,391
~130–200% of Medicare
Cash / self-pay est.
$556–$1,043
~80–150% of Medicare

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.

Surgery center, total
$1,643
$394 physician + $1,248 facility
Physician fee alone
$394
Only 12% of the hospital total

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 New Jersey

Look up your ZIP code to see whether northern or rest-of-state New Jersey pricing applies, from Newark, Jersey City, and Bergen County down to Trenton, Cherry Hill, and the Jersey Shore.

What orthopedic hardware removal costs at hospitals near you

Everything above is a national average. The hospital you pick in New Jersey moves the bill more than anything else you control.

Locked

Rates for your ZIP, 5 named hospitals with CMS ratings, the add-on codes, and the scheduler script.

For example 07001.

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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 New Jersey the office and hospital physician lines for this CPT differ by $267.41.

National vs New Jersey

National office$631.95
National hospital (physician)$394.46
New Jersey vs national10% above the national office rate of $631.95

Where New Jersey ranks for this CPT

Rank (lowest physician fee first)#47 of 51
Lowest stateArkansas ($558.02)
Highest stateAlaska ($739.24)

CPT 20680 by New Jersey locality

LocalityOffice
northern nj$710.98
rest of new jersey$680.17

PE GPCI ranges from 1.092 to 1.160 in New Jersey. That index is why the same CPT is not one price statewide.

Orthopedic Hardware Removal and how New Jersey is priced

New Jersey is split into two payment localities: northern New Jersey, which carries higher adjustments befitting its position in the New York metropolitan orbit, and the rest of the state to the south. Both localities price above the national average, but the northern one ranks among the more expensive in the country. The dividing line means a procedure in Bergen County is approved at a higher amount than the same one in Cherry Hill or along the shore. South Jersey's pricing gravity pulls toward Philadelphia even though its locality is its own.

New Jersey may be the ultimate cross-border care state: North Jersey residents flow into Manhattan hospitals, South Jersey residents into Philadelphia's academic centers, and the state's own large systems compete hard in between. Dense population means most residents have multiple hospitals within a short drive, which is real negotiating leverage for a cash-pay patient. The shore counties see seasonal population surges that strain capacity each summer.

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?

Orthopedic Hardware Removal in New Jersey: 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 New Jersey averages $428, from $421 to $436 across 2 Medicare localities. Enter a ZIP for the exact New Jersey locality.

Yes. CMS splits New Jersey into 2 payment localities. For this CPT the office physician fee spans $30.81 from the lowest to highest locality. Look up your ZIP code to see whether northern or rest-of-state New Jersey pricing applies, from Newark, Jersey City, and Bergen County down to Trenton, Cherry Hill, and the Jersey Shore.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $139 for the office physician line or $86 for the hospital physician line in New Jersey. Medigap may cover that 20%. This is not the hospital facility fee.

No. $428.17 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. New Jersey ranks #47 of 51 states on the physician line (10% above the national office rate of $631.95).

Data source: 2026 Medicare Physician Fee Schedule (CMS PPRRVU26B, released March 2026). Conversion factor: $33.4009. Prices shown are Medicare allowed amounts for the physician service and may not match what you are billed. Private insurance and self-pay ranges, when shown, are labeled estimates (typical multiples of Medicare), not quotes. This site is an independent cost tool, not medical advice.