How Much Does Orthopedic Hardware Removal Cost in Texas?
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 Texas averages $390, from $377 to $408 across 8 Medicare localities.
- ✓Your ZIP's wage-adjusted hospital and surgery center rates
- ✓Five nearby hospitals by name, with CMS star ratings
- ✓The add-on codes that typically land on the bill
- ✓A word-for-word script for asking for a good-faith estimate
- ✓A private link you can reopen and share
- ✓Everything in the Premium report
- ✓15 nearby hospitals instead of five
- ✓Filled good-faith-estimate request letter
- ✓Bill-negotiation letter
- ✓Printable PDF download
Texas Medicare physician rate (2026)
-1.2% vs nationalAverage of 8 localities. Office range $593.21–$651.64.
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 Texas
With so many Texas localities, check your exact ZIP: Houston, Dallas-Fort Worth, Austin, the Galveston and Beaumont coast, San Antonio, El Paso, the Valley, and rural West Texas can all price differently.
What orthopedic hardware removal costs at hospitals near you
Everything above is a national average. The hospital you pick in Texas 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.
For example 73960.
One-off payment, no account and no subscription. You get a private link and an email. No medical records and no insurance card, ever.
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 Texas the office and hospital physician lines for this CPT differ by $233.79.
National vs Texas
Where Texas ranks for this CPT
CPT 20680 by Texas locality
| Locality | Office |
|---|---|
| austin | $651.64 |
| houston | $643.99 |
| dallas | $627.05 |
| galveston | $624.59 |
| fort worth | $623.49 |
| brazoria | $622.09 |
| rest of texas | $607.98 |
| beaumont | $593.21 |
PE GPCI ranges from 0.910 to 1.058 in Texas. That index is why the same CPT is not one price statewide.
Orthopedic Hardware Removal and how Texas is priced
Texas is carved into grouped metro localities rather than priced statewide: Houston, Dallas, Fort Worth, Austin, Galveston, Beaumont, and Brazoria each carry their own locality, and the enormous remainder of the state shares rest-of-state pricing. The big-city localities approve higher amounts than rural Texas, with Houston and Dallas at the top of the state's range. Uniquely, several smaller Gulf Coast areas kept their own localities from an earlier era, which is why Galveston and Beaumont are priced separately from Houston. San Antonio and El Paso, despite their size, fall under rest-of-state factors.
Texas contains several of the largest medical complexes in the world, most famously in Houston, plus deep hospital markets in Dallas-Fort Worth, San Antonio, and Austin. At the other extreme, West Texas and the Panhandle include counties with no physician at all, and rural hospital closures have hit Texas harder than almost any state. Border communities from El Paso to the Rio Grande Valley have distinct markets, and some residents cross into Mexico for lower-cost dental and pharmacy care.
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 Texas
Orthopedic Hardware Removal in other states
Orthopedic Hardware Removal in Texas: 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 Texas averages $390, from $377 to $408 across 8 Medicare localities. Enter a ZIP for the exact Texas locality.
Yes. CMS splits Texas into 8 payment localities. For this CPT the office physician fee spans $58.43 from the lowest to highest locality. With so many Texas localities, check your exact ZIP: Houston, Dallas-Fort Worth, Austin, the Galveston and Beaumont coast, San Antonio, El Paso, the Valley, and rural West Texas can all price differently.
After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $125 for the office physician line or $78 for the hospital physician line in Texas. Medigap may cover that 20%. This is not the hospital facility fee.
No. $390.46 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. Texas ranks #31 of 51 states on the physician line (within 2% of the national office rate of $631.95).