CMS Price Transparency Data

Bunion correction surgery

Facility: Mainehealth Stephens Hospital

Billing Code: 28296 (CPT)

The BaseRate · fair price high confidence
A fair price for this
$981
about 0.3× the $3,343 Medicare rate · typically $682–$1,855
modeled estimate · not a bill or quote
What this hospital charges insurers
$954
About the fair price
about $27 under the fair price · 0.3× Medicare
Medicare pays $3,343 Fair price $981 This hospital $954

How we calculate the fair BaseRate →

How this hospital compares to other ME hospitals

One of the lower prices — 5 of 8 other ME hospitals charge more for the same procedure.

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 $981 (about 0.3× the $3,343 Medicare rate). Mainehealth Stephens Hospital charges insurers about $954 — about the fair price. Located in Norway, 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 $572 - $978 17%
Blue Cross Blue Shieldmajor $498 - $14,927 15%
Aetnamajor $498 - $1,034 15%
Cignamajor $1,606 48%
Humanamajor $572 17%
Harvard Pilgrim $1,704 51%
WellCare $595 18%
+ 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: 181 Main Street, Norway, ME 04268
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals