CMS Price Transparency Data

Bunion correction surgery

Facility: Northside Hospital Forsyth

Billing Code: 28296 (CPT)

The BaseRate · fair price medium confidence
A fair price for this
$4,894
about 1.5× the $3,343 Medicare rate · typically $1,444–$6,141
modeled estimate · not a bill or quote
What this hospital charges insurers
$6,053
Above the fair price
about $1,159 over the fair price · 1.8× Medicare
Medicare pays $3,343 Fair price $4,894 This hospital $6,053

How we calculate the fair BaseRate →

How this hospital compares to other GA hospitals

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

Cheapest $588 Priciest $6,053

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

A fair price for a Bunion correction surgery is about $4,894 (about 1.5× the $3,343 Medicare rate). Northside Hospital Forsyth charges insurers about $6,053 — above the fair price. Located in Cumming, GA.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $4,894. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

What each insurance company pays

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

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

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

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 $3,270 - $8,836 98%
Blue Cross Blue Shieldmajor $3,270 - $34,850 98%
Aetnamajor $3,336 - $30,000 100%
Cignamajor $6,689 - $7,181 200%
Humanamajor $3,303 - $3,401 99%
Kaiser Permanentemajor $3,368 - $6,053 101%
Ambetter (Centene) $2,658 - $9,299 80%
Amerigroup $6,025 - $7,112 180%
CareSource $3,368 - $18,600 101%
Clover Health $3,433 103%
Health Net $8,102 242%
Oscar Health $7,706 231%
WellCare $3,368 101%
+ 15 smaller / regional plans $2,734 - $50,000
Government programs also on file: Medicare, Medicaid, Military & VA.
Excludes 7 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Insurance Before you use insurance

Estimate your out-of-pocket cost

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

Enter your details and press estimate to compare.

Facility Profile & Credentials

  • Address: 1200 Northside Forsyth Drive, Cumming, GA 30041
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals