Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Removal Implant Deep|RIGHT SIDE|UNUSUAL PROCEDURAL SERVICES
Low
$4
Average
$4.2k
Median
$3.7k
High
$17.2k
Each hospital's average Anthem rate, under the methodology and billing class chosen below.
495 hospitals; the 90th percentile is 14.6× the 10th. Each bar is a price range and its height is how many hospitals fall in it. Hover a bar, or a row in the ladder, for details.
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962 hospital rates
iThe hospitals that file a Anthem rate for this code, one row per hospital and set of terms (billing class, payment method, setting). Rates under different terms are never blended, so the terms are shown under each hospital’s name. Figures are the hospital’s averages across its plans.| # | Plans | |||||||
|---|---|---|---|---|---|---|---|---|
| 1 | Curators of the University of Missouri Jefferson City, MO facility · percent of total billed charges · outpatientfrom % of charges | 3 | $4.3k | $4.5k | $157 | 4% | 126–153 | $4.3k – $4.7k |
| 2 | University of Virginia Medical Center Charlottesville, VA other · both | 3 | $7.6k | $6.7k | $2.4k | 35% | 63–144 | $2.9k – $8.7k |
| 3 | Lutheran Musculoskeletal Center LLC Fort Wayne, IN facility · other · outpatient | 3 | $4.9k | $4.6k | $878 | 19% | 61–70 | $1.9k – $4.9k |
| 4 | University of Virginia Medical Center Charlottesville, VA other · outpatient | 3 | $7.6k | $6.7k | $2.4k | 35% | 58–94 | $2.9k – $8.7k |
| 5 | University of Wisconsin Hospital and Clinics Authority WI 53718; 1675 Highland Ave Madison, WI percent of total billed chargesfrom % of charges | 2 | $6.9k | $6.9k | $958 | 14% | 30 | $6.0k – $7.9k |
| 6 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS GREEN BAY, WI case rate · outpatient | 2 | $4.1k | $4.1k | $154 | 4% | 16–160 | $4.0k – $4.3k |
| 7 | ST NICHOLAS HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Sheboygan, WI case rate · outpatient | 2 | $6.5k | $6.5k | $2.4k | 37% | 16–160 | $4.1k – $8.8k |
| 8 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Oconto Falls, WI case rate · outpatient | 2 | $8.4k | $8.4k | $310 | 4% | 16–160 | $8.1k – $8.7k |
| 9 | ST VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST FRANCIS Oconto Falls, WI fee schedule · outpatient | 2 | $1.9k | $1.9k | $860 | 46% | 16–160 | $1.0k – $2.7k |
| 10 | The Cleveland Clinic Foundation Brunswick, OH facility · percent of total billed charges · outpatientfrom % of charges | 3 | $7.1k | $7.8k | $1.7k | 22% | 14–23 | $6.1k – $10.1k |
| 11 | La Porte Hospital Company LLC La Porte, IN facility · other · outpatient | 2 | $2.5k | $2.5k | $587 | 24% | 12 | $1.9k – $3.1k |
| 12 | ST MARYS HOSPITAL MEDICAL CENTER OF GREEN BAY INC HOSPITAL SISTERS GREEN BAY, WI fee schedule · outpatient | 1 | $495 | $495 | — | — | 8–80 | $495 – $495 |
| 13 | St Clare Memorial Hospital Inc OCONTO FALLS, WI percent of total billed charges · outpatientfrom % of charges | 1 | $3.6k | $3.6k | — | — | 8–80 | $3.6k – $3.6k |
| 14 | Eskenazi Health Indianapolis, IN facility · per diem · both | 4 | $1.9k | $1.9k | — | — | 4–40 | $1.9k – $1.9k |
| 15 | Eskenazi Health Indianapolis, IN facility · per diem · outpatient | 4 | $1.9k | $1.9k | — | — | 4–40 | $1.9k – $1.9k |
| 16 | Froedtert Memorial Lutheran Hospital Inc Milwaukee, WI other · inpatient | 4 | $4.3k | $4.5k | $2.8k | 61% | 4–40 | $1.2k – $8.4k |
| 17 | Tanner Medical Center - Carrollton Carrollton, GA facility · percent of total billed charges · outpatientfrom % of charges | 3 | $7.4k | $8.6k | $3.1k | 36% | 4–40 | $5.8k – $13.7k |
| 18 | University of Virginia Culpeper Medical Center Culpeper, VA other · both | 3 | $8.1k | $7.2k | $2.7k | 37% | 3–30 | $3.0k – $9.6k |
| 19 | University of Virginia Haymarket Medical Center Haymarket, VA other · both | 3 | $7.1k | $6.4k | $2.2k | 35% | 3–30 | $3.0k – $8.4k |
| 20 | University of Virginia Prince William Medical Center Manassas, VA other · both | 3 | $7.9k | $7.0k | $2.6k | 37% | 3–30 | $3.0k – $9.3k |
| 21 | DIGNITY COMMUNITY CARE Sacramento, CA fee schedule · outpatient | 3 | $3.5k | $2.6k | $1.6k | 60% | 2–20 | $414 – $3.9k |
| 22 | DIGNITY HEALTH Mt Shasta, CA percent of total billed charges · outpatientfrom % of charges | 2 | $10.5k | $10.5k | $1.2k | 12% | 2–20 | $9.3k – $11.7k |
| 23 | HARTFORD HOSPITAL HARTFORD, CT case rate · outpatient | 2 | $26.3k | $26.3k | $3.8k | 14% | 2–20 | $22.5k – $30.1k |
| 24 | Inova Fairfax Hospital Falls Church, VA fee schedule · both | 5 | $6.8k | $5.7k | $2.2k | 38% | 2–20 | $2.9k – $7.8k |
| 25 | Mishawaka Medical Center Mishawaka, IN facility · fee schedule · outpatient | 2 | $1.9k | $1.9k | — | — | 2–20 | $1.9k – $1.9k |
← Payers reporting CPT 20680 · Snapshot 20261111T120946Z-9134e7f7