CPT20680

How Much Does Orthopedic Hardware Removal Cost in Wisconsin?

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 Wisconsin averages $363.

Hospital payments are wage-adjusted by locality, so the ZIP changes the numbers. For example 53001.
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Wisconsin Medicare physician rate (2026)

-6.6% vs national

Single statewide locality.

Wisconsin (Hospital)
$363.03
Facility physician fee
Private plan est.
$768–$1,181
~130–200% of Medicare
Cash / self-pay est.
$472–$886
~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 Wisconsin

Check your ZIP code for your part of Wisconsin, whether Milwaukee, Madison, Green Bay and the Fox Valley, La Crosse, Eau Claire, or the rural Northwoods.

What orthopedic hardware removal costs at hospitals near you

Everything above is a national average. The hospital you pick in Wisconsin 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 53001.

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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 Wisconsin the office and hospital physician lines for this CPT differ by $227.51.

National vs Wisconsin

National office$631.95
National hospital (physician)$394.46
Wisconsin vs national7% below the national office rate of $631.95

Where Wisconsin ranks for this CPT

Rank (lowest physician fee first)#12 of 51
Lowest stateArkansas ($558.02)
Highest stateAlaska ($739.24)

Orthopedic Hardware Removal and how Wisconsin is priced

Wisconsin's Medicare pricing runs through a single statewide locality with indices near the national average, so Milwaukee, Madison, and the Northwoods share the same approved amounts. The unified locality sits atop one of the more regionally organized care systems in the country, with strong integrated groups serving defined territories. No metro premium exists in the fee schedule, so Milwaukee's higher practice costs are averaged into the statewide factors. The published rates here travel unchanged across all seventy-two counties.

Milwaukee and Madison hold the state's academic medicine and largest systems, while integrated clinics in Marshfield, La Crosse, and the Fox Valley have long histories of serving rural Wisconsin through hub-and-spoke networks. The far north is lake and forest country where specialty care means a long drive south, and some western residents use Twin Cities or Rochester, Minnesota providers. Wisconsin's tradition of clinic-based integrated care tends to keep billing relatively coordinated.

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 Wisconsin: 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 Wisconsin averages $363. Wisconsin is a single Medicare locality, so the physician rate is the same statewide.

Not on the physician fee schedule. Wisconsin uses one locality, so the Medicare physician rate is the same from one end of the state to the other. What still changes is site of service (office vs hospital) and any facility fee the hospital bills on its own claim.

After the Part B deductible, coinsurance is usually 20% of the allowed amount: about $118 for the office physician line or $73 for the hospital physician line in Wisconsin. Medigap may cover that 20%. This is not the hospital facility fee.

No. $363.03 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. Wisconsin ranks #12 of 51 states on the physician line (7% below 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.