CMS Price Transparency Data

Bunion correction surgery

Facility: Atrium Health Cleveland

Billing Code: 28296 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$568

about 0.2× the $3,343 Medicare rate · typically $417–$1,769

modeled estimate · not a bill or quote

Medicare pays $3,343 Fair price $568

How we calculate the fair BaseRate →

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✓ Aetna✓ Cigna✓ Humana Blue Cross Blue ShieldKaiser 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	$416 - $3,209	12%
Aetnamajor	$501 - $3,153	15%
Cignamajor	$484 - $3,199	14%
Humanamajor	$493 - $3,108	15%
AmeriHealth	$416	12%
WellCare	$416	12%
+ 6 smaller / regional plans	$412 - $420

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 Atrium Health Cleveland 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.

Other Procedures at Atrium Health Cleveland

Compare: Bunion correction surgery at other NC hospitals

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