CMS Price Transparency Data

Bunion correction surgery

Facility: Boston Medical Center-Brighton

Billing Code: 28296 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,751

about 1.1× the $3,343 Medicare rate · typically $2,884–$5,010

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,921

About the fair price

about $170 over the fair price · 1.2× Medicare

Medicare pays $3,343 Fair price $3,751 This hospital $3,921 Cash price $4,721 Hospital's list price $10,492

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 $3,921

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

A fair price for a Bunion correction surgery is about $3,751 (about 1.1× the $3,343 Medicare rate). Boston Medical Center-Brighton charges insurers about $3,921, or about $4,721 in cash — about the fair price. Located in Brighton, MA.

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✓ 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	$3,921	117%
Blue Cross Blue Shieldmajor	$3,000 - $7,869	90%
Aetnamajor	$3,921 - $7,674	117%
Cignamajor	$7,200	215%
Humanamajor	$3,921	117%
Harvard Pilgrim	$2,396	72%
Tufts Health Plan	$7,200	215%
UniCare	$7,869	235%
+ 13 smaller / regional plans	$475 - $7,945

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

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 4,721), 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 Boston Medical Center-Brighton 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 Boston Medical Center-Brighton

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.