CMS Price Transparency Data

Bunion correction surgery

Facility: Madison Hospital

Billing Code: 28296 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$821

about 0.2× the $3,343 Medicare rate · typically $501–$2,025

modeled estimate · not a bill or quote

What this hospital charges insurers

$631

Below the fair price — a good deal

about $190 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $821 This hospital $631

How we calculate the fair BaseRate →

How this hospital compares to other MN hospitals

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

Cheapest $470 Priciest $908

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

A fair price for a Bunion correction surgery is about $821 (about 0.2× the $3,343 Medicare rate). Madison Hospital charges insurers about $631 — below the fair price — a good deal. Located in Madison, MN.

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	$362 - $986	11%
Blue Cross Blue Shieldmajor	$362 - $1,029	11%
Aetnamajor	$583	17%
Humanamajor	$504	15%
HealthPartners	$337 - $1,149	10%
Medica	$691 - $886	21%
+ 1 smaller / regional plan	$388 - $1,036

Government programs also on file: Medicare, Medicaid.

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, 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 Madison 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 Madison Hospital

Compare: Bunion correction surgery at other MN hospitals

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