CMS Price Transparency Data

Bunion correction surgery

Facility: UMass Memorial Healthalliance Hospitals

Billing Code: 28296 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,096

about 1.2× the $3,343 Medicare rate · typically $1,571–$4,462

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,970

About the fair price

about $126 under the fair price · 1.2× Medicare

Medicare pays $3,343 Fair price $4,096 This hospital $3,970 Cash price $27,091 Hospital's list price $27,091

How we calculate the fair BaseRate →

How this hospital compares to other MA hospitals

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

Cheapest $1,315 Priciest $3,970

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Bunion correction surgery is about $4,096 (about 1.2× the $3,343 Medicare rate). UMass Memorial Healthalliance Hospitals charges insurers about $3,970, or about $27,091 in cash — about the fair price. Located in Leominster, MA.

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✓ Cigna HumanaKaiser 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	$4,168 - $4,248	125%
Blue Cross Blue Shieldmajor	$3,000 - $4,102	90%
Aetnamajor	$4,168	125%
Cignamajor	$3,970 - $6,193	119%
Harvard Pilgrim	$2,361 - $4,168	71%
Tufts Health Plan	$3,970 - $6,753	119%
+ 7 smaller / regional plans	$294 - $4,248

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

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 27,091), 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 UMass Memorial Healthalliance Hospitals 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 UMass Memorial Healthalliance Hospitals

Compare: Bunion correction surgery at other MA hospitals

Metrowest Medical Center · Framingham $1,315
St Vincent Hospital · Worcester $1,315
Cambridge Health Alliance · Cambridge $3,000
Emerson Hospital - · W Concord $3,343
Beth Israel Deaconess Hospital - Milton · Milton $3,386
Milford Regional Medical Center · Milford $3,506
South Shore Hospital · South Weymouth $3,553
Anna Jaques Hospital · Newburyport $3,921

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