CMS Price Transparency Data

Bunion correction surgery

Facility: Boone County Hospital

Billing Code: 28296 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$657

about 0.2× the $3,343 Medicare rate · typically $503–$1,528

modeled estimate · not a bill or quote

What this hospital charges insurers

$542

Below the fair price — a good deal

about $115 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $657 This hospital $542 Cash price $1,623 Hospital's list price $2,029

How we calculate the fair BaseRate →

How this hospital compares to other IA hospitals

One of the lower prices — 7 of 8 other IA hospitals charge more for the same procedure.

Cheapest $497 Priciest $899

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

A fair price for a Bunion correction surgery is about $657 (about 0.2× the $3,343 Medicare rate). Boone County Hospital charges insurers about $542, or about $1,623 in cash — below the fair price — a good deal. Located in Boone, IA.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser 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	$487 - $749	15%
Blue Cross Blue Shieldmajor	$972	29%
Aetnamajor	$461 - $875	14%
Humanamajor	$452 - $1,826	14%
Amerigroup	$456	14%
HealthPartners	$1,058	32%
Meridian	$2,029	61%
+ 7 smaller / regional plans	$452 - $2,070

Government programs also on file: Medicaid, Military & VA.

Excludes 4 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 1,623), 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 Boone County Hospital 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 Boone County Hospital

Compare: Bunion correction surgery at other IA hospitals

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