20680

Removal of deep implant from bone

Medicare pricing data for 20,914 providers across 51 states

🤖AI Overview

This procedure has a 6.0x markup — hospitals charge $2,589 but Medicare allows only $431.40. Uninsured patients may face bills 6.0 times higher than what insurance negotiates. Prices vary significantly by location — from $261 in South Dakota to $564 in Alaska. Where you get this procedure matters more than almost any other factor. Note: These costs reflect the Medicare physician/supplier component. Hospital facility fees are billed separately and can be 2-5x the physician fee.

💡 What You Should Know

Removal of deep implant from bone (HCPCS code 20680) is a medical procedure billed to Medicare. The average Medicare-allowed cost is $431.40, but hospitals typically charge $2,589 — a 6.0x markup. Prices vary significantly by state and provider.

🏷️ Typical Out-of-Pocket Cost

$86.28

Medicare patients typically pay about 20% of the allowed amount as coinsurance. Based on the average allowed cost of $431.40, your out-of-pocket cost would be approximately $86.28. Actual costs depend on your specific plan, deductible, and whether you've met your annual out-of-pocket maximum.

Average Allowed Cost
$431.40
Average Hospital Charge
$2,589
Markup Ratio
6.0x

What Hospitals Charge vs. What Medicare Pays

Hospital Charge$2,589.29
Medicare Allowed$431.40
Medicare Payment$341.15

Hospitals charge 6.0x more than what Medicare allows for this procedure. Medicare actually pays $341.15 on average.

Cost by State

Medicare-allowed amounts vary significantly by state

StateAllowed CostHospital ChargeProvidersServicesvs. National
Alaska$564$6,02278244+30.8%
Maryland$542$2,9663851,244+25.7%
Oregon$515$2,466310882+19.5%
New Jersey$505$4,6825211,324+17.1%
Delaware$501$2,48974335+16.2%
Colorado$495$3,5464581,665+14.6%
Connecticut$492$3,181216504+13.9%
Washington$489$1,7235721,969+13.5%
California$475$2,8662,1686,811+10.0%
Minnesota$472$2,5393981,101+9.4%
Illinois$471$2,8837752,027+9.1%
Georgia$470$3,2726031,771+8.9%
New Hampshire$467$2,76697279+8.2%
Wyoming$465$2,28869219+7.8%
Mississippi$463$2,365156577+7.3%
New Mexico$458$2,010123330+6.2%
Virginia$457$2,5655221,639+6.0%
Montana$456$1,710133409+5.6%
Iowa$444$2,380224689+3.0%
New York$441$4,3328172,079+2.1%
Michigan$426$2,0406611,746-1.3%
Florida$421$2,8851,5644,753-2.3%
Pennsylvania$418$2,1658542,329-3.2%
Tennessee$417$2,3674501,339-3.4%
Arizona$413$2,6976152,168-4.2%
Alabama$412$1,934285812-4.5%
Indiana$410$2,4825121,378-4.9%
North Carolina$409$1,9926261,735-5.3%
Nevada$407$2,531220775-5.6%
Ohio$401$1,9297831,979-7.0%
Massachusetts$399$2,3174111,112-7.4%
Hawaii$399$1,5854183-7.5%
Louisiana$396$2,362286817-8.1%
Rhode Island$396$2,18878232-8.3%
Missouri$394$2,3764441,074-8.8%
Texas$391$2,4541,5024,351-9.4%
Idaho$388$1,618183555-10.0%
Utah$387$2,019271756-10.2%
Wisconsin$384$3,458368835-10.9%
South Carolina$367$1,9253641,191-14.9%
District of Columbia$357$1,74056167-17.3%
Arkansas$353$1,561192557-18.3%
Oklahoma$345$1,298259822-20.1%
Maine$345$1,40779153-20.1%
Nebraska$343$2,247198574-20.5%
Kentucky$329$1,515263673-23.7%
Kansas$329$2,039265771-23.8%
North Dakota$325$1,82098385-24.6%
West Virginia$325$1,33689186-24.8%
Vermont$318$1,9992859-26.4%
South Dakota$261$1,372108276-39.4%

⚠️ Important: These costs reflect the Medicare physician/supplier component. Hospital facility fees may be billed separately. Total out-of-pocket costs may be higher.

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