CMS Price Transparency Data

Bunion correction surgery

Facility: AHS Hospital Corp

Billing Code: 28296 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,806

about 1.1× the $3,343 Medicare rate · typically $3,386–$4,730

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,591

About the fair price

about $215 under the fair price · 1.1× Medicare

Medicare pays $3,343 Fair price $3,806 This hospital $3,591 Cash price $4,130 Hospital's list price $24,961

How we calculate the fair BaseRate →

How this hospital compares to other NJ hospitals

A typical price — 2 charge more and 4 charge less, among the 9 NJ hospitals compared.

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 $3,806 (about 1.1× the $3,343 Medicare rate). AHS Hospital Corp charges insurers about $3,591, or about $4,130 in cash — about the fair price. Located in Hackettstown, NJ.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

3 of 6 major insurers have a published price at this hospital

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna UnitedHealthcareHumanaKaiser 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
Blue Cross Blue Shieldmajor	$3,591	107%
Aetnamajor	$3,591 - $5,028	107%
Cignamajor	$3,591	107%
Ambetter (Centene)	$3,591	107%
AmeriHealth	$3,591 - $5,958	107%
UPMC Health Plan	$3,591	107%
WellCare	$3,591	107%
+ 11 smaller / regional plans	$1,032 - $7,806

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

Excludes 1 rental-network / third-party entry (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 4,130), 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 AHS Hospital Corp 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 AHS Hospital Corp

Compare: Bunion correction surgery at other NJ hospitals

St Joseph's University Medical Center Inc · Paterson $1,235
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
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.