CMS Price Transparency Data

Bunion correction surgery

Facility: Mainehealth Pen Bay Hospital

Billing Code: 28296 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$1,792
about 0.5× the $3,343 Medicare rate · typically $973–$2,406
modeled estimate · not a bill or quote
What this hospital charges insurers
$1,034
Below the fair price — a good deal
about $758 under the fair price · 0.3× Medicare
Medicare pays $3,343 Fair price $1,792 This hospital $1,034

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

A typical price — 3 charge more and 5 charge less, among the 9 ME hospitals compared.

Cheapest $522 Priciest $1,819

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

A fair price for a Bunion correction surgery is about $1,792 (about 0.5× the $3,343 Medicare rate). Mainehealth Pen Bay Hospital charges insurers about $1,034 — below the fair price — a good deal. Located in Rockport, ME.

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 $577 - $3,140 17%
Blue Cross Blue Shieldmajor $507 - $15,249 15%
Aetnamajor $498 - $3,203 15%
Cignamajor $1,606 48%
Humanamajor $577 - $3,140 17%
Harvard Pilgrim $1,704 51%
WellCare $517 - $3,234 15%
+ 1 smaller / regional plan $1,065
Excludes 1 rental-network / third-party entry (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

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Facility Profile & Credentials

  • Address: 6 Glen Cove Drive, Rockport, ME 04856
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals