Removal of internal bone fixation hardware at Samaritan Hospital

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.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

PR Removal of Implant Deep|ASSISTANT AT SURGERY SERVICE

Troy, NY

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How this price compares nationally

Samaritan Hospital’s median price of $933 is 70% below the median hospital's median price ($3.1k), higher than 15% of the 2,234 hospitals reporting CPT 20680. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.

Payers reporting CPT 20680 at Samaritan Hospital

Negotiated rates from the hospital’s own file: 34 payers, 141 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.

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1	Anthem empire medicaid facility · fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
2	Excellus empire medicaid facility · fee schedule · outpatient	$34	$34	—	—	—	$34 – $34
3	Anthem empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient	$73	$73	—	—	—	$73 – $73
4	Excellus empire medicaid essential 1 2 3 4 facility · fee schedule · outpatient	$73	$73	—	—	—	$73 – $73
5	Humana tricare professional · fee schedule · inpatient	$92	$92	$70	76%	—	$22 – $161
6	Tricare tricare professional · fee schedule · inpatient	$92	$92	$70	76%	—	$22 – $161
7	Humana tricare professional · fee schedule · both	$110	$110	$80	72%	—	$30 – $190
8	Humana tricare professional · fee schedule · outpatient	$110	$110	$80	72%	—	$30 – $190
9	Tricare tricare professional · fee schedule · both	$110	$110	$80	72%	—	$30 – $190
10	Tricare tricare professional · fee schedule · outpatient	$110	$110	$80	72%	—	$30 – $190
11	Aetna aetna medicare advantage professional · fee schedule · both	$125	$125	$90	72%	—	$34 – $215
12	Aetna aetna professional · fee schedule · both	$183	$183	$132	72%	—	$50 – $315
13	Aetna pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$541	$541	$392	72%	—	$149 – $933
14	Aetna pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$541	$541	$392	72%	—	$149 – $933
15	Ambetter pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$541	$541	$392	72%	—	$149 – $933
16	Ambetter pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$541	$541	$392	72%	—	$149 – $933
17	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$541	$541	$392	72%	—	$149 – $933
18	Amerihealth Caritas pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$541	$541	$392	72%	—	$149 – $933
19	Anthem pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$541	$541	$392	72%	—	$149 – $933
20	Anthem pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$541	$541	$392	72%	—	$149 – $933
21	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$541	$541	$392	72%	—	$149 – $933
22	Blue Cross Blue Shield pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$541	$541	$392	72%	—	$149 – $933
23	Carefirst pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$541	$541	$392	72%	—	$149 – $933
24	Carefirst pb xr 100% default professional · percent of total billed charges · outpatientfrom % of charges	$541	$541	$392	72%	—	$149 – $933
25	Caresource pb xr 100% default professional · percent of total billed charges · bothfrom % of charges	$541	$541	$392	72%	—	$149 – $933

Page 1 of 6 · 141 rates

Last updated: Mar 31, 2026

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