CMS Price Transparency Data

Bunion correction surgery

Facility: Stanford Health Care

Billing Code: 28296 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,970

about 1.2× the $3,343 Medicare rate · typically $1,245–$8,142

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,162

Below the fair price — a good deal

about $2,808 under the fair price · 0.3× Medicare

Medicare pays $3,343 Fair price $3,970 This hospital $1,162 Cash price $2,097 Hospital's list price $4,194

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 $1,162

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 $3,970 (about 1.2× the $3,343 Medicare rate). Stanford Health Care charges insurers about $1,162, or about $2,097 in cash — below the fair price — a good deal. Located in Stanford, 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	$1,997 - $28,573	60%
Blue Cross Blue Shieldmajor	$1,139 - $39,140	34%
Aetnamajor	$1,185 - $26,573	35%
Cignamajor	$486 - $572	15%
Kaiser Permanentemajor	$678	20%
Health Net	$1,272 - $4,813	38%
+ 6 smaller / regional plans	$351 - $1,220

Excludes 1 rental-network / third-party entry (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 2,097), 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 Stanford Health Care 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 Stanford Health Care

Compare: Bunion correction surgery at other CA hospitals

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