CMS Price Transparency Data

Bunion correction surgery

Facility: St Joseph's University Medical Center Inc

Billing Code: 28296 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,579

about 1.1× the $3,343 Medicare rate · typically $1,484–$4,623

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,235

Below the fair price — a good deal

about $2,344 under the fair price · 0.4× Medicare

Medicare pays $3,343 Fair price $3,579 This hospital $1,235 Cash price $3,216 Hospital's list price $3,216

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

Lowest price of the 9 NJ hospitals we have prices for — a strong deal.

Cheapest $1,235 Priciest $3,640

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

A fair price for a Bunion correction surgery is about $3,579 (about 1.1× the $3,343 Medicare rate). St Joseph's University Medical Center Inc charges insurers about $1,235, or about $3,216 in cash — below the fair price — a good deal. Located in Paterson, NJ.

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	$400 - $5,706	12%
Blue Cross Blue Shieldmajor	$533 - $11,068	16%
Aetnamajor	$533 - $7,930	16%
Cignamajor	$3,216	96%
Ambetter (Centene)	$533 - $5,831	16%
AmeriHealth	$533 - $3,887	16%
Clover Health	$533 - $3,887	16%
Fidelis Care	$400 - $4,082	12%
Health Net	$1,439	43%
+ 4 smaller / regional plans	$533 - $4,470

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 3,216), 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 St Joseph's University Medical Center Inc 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 St Joseph's University Medical Center Inc

Compare: Bunion correction surgery at other NJ hospitals

Robert Wood Johnson University Hospital at Rahway · Rahway $3,546
Trinitas Regional Medical Center · Elizabeth $3,546
Capital Health Regional Medical Center · Trenton $3,546
Newton Medical Center · Newton $3,591
Centrastate Medical Center · Freehold $3,591
AHS Hospital Corp · Hackettstown $3,591
Jfk University Medical Center · Edison $3,594
Newark Beth Israel Medical Center · Newark $3,640

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