CMS Price Transparency Data

Bunion correction surgery

Facility: Adventist Health St Helena

Billing Code: 28296 (CPT)

The BaseRate · fair price low confidence

A fair price for this

$1,860

about 0.6× the $3,343 Medicare rate · typically $692–$7,896

modeled estimate · not a bill or quote

What this hospital charges insurers

$675

Below the fair price — a good deal

about $1,185 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $1,860 This hospital $675 Cash price $172 Hospital's list price $1,150

How we calculate the fair BaseRate →

How this hospital compares to other CA hospitals

Highest price of the 9 CA hospitals we have prices for — worth calling around.

Cheapest $494 Priciest $675

Black dot = this hospital, among the 9 CA hospitals with a price for this procedure. Full list below.

A fair price for a Bunion correction surgery is about $1,860 (about 0.6× the $3,343 Medicare rate). Adventist Health St Helena charges insurers about $675, or about $172 in cash — below the fair price — a good deal. Located in Saint Helena, CA.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Kaiser Permanente Humana

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$675	20%
Blue Cross Blue Shieldmajor	$548 - $1,408	16%
Aetnamajor	$783	23%
Cignamajor	$640	19%
Kaiser Permanentemajor	$548 - $657	16%
+ 3 smaller / regional plans	$234 - $1,720

Government programs also on file: Military & VA.

Excludes 3 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 172), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 28296.

Insurance Before you use insurance

Call your insurance company to confirm Adventist Health St Helena is in-network.
Ask your insurer whether prior approval is required for CPT code 28296.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Adventist Health St Helena

Compare: Bunion correction surgery at other CA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.