CMS Price Transparency Data

Bunion correction surgery

Facility: Northeast Regional Medical Center

Billing Code: 28296 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,059

about 1.2× the $3,343 Medicare rate · typically $3,519–$4,305

modeled estimate · not a bill or quote

What this hospital charges insurers

$4,007

About the fair price

about $52 under the fair price · 1.2× Medicare

Medicare pays $3,343 Fair price $4,059 This hospital $4,007 Cash price $6,040 Hospital's list price $25,166

How we calculate the fair BaseRate →

How this hospital compares to other MO hospitals

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

Cheapest $549 Priciest $4,007

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

A fair price for a Bunion correction surgery is about $4,059 (about 1.2× the $3,343 Medicare rate). Northeast Regional Medical Center charges insurers about $4,007, or about $6,040 in cash — about the fair price. Located in Kirksville, MO.

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	$3,510 - $18,874	105%
Blue Cross Blue Shieldmajor	$3,523 - $7,676	105%
Aetnamajor	$9,362 - $20,988	280%
Cignamajor	$8,556 - $9,840	256%
Devoted Health	$3,626	108%
HealthLink	$2,500 - $3,000	75%
+ 9 smaller / regional plans	$3,510 - $16,358

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

Excludes 2 rental-network / third-party entries (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 6,040), 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 Northeast Regional Medical Center 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 Northeast Regional Medical Center

Compare: Bunion correction surgery at other MO hospitals

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