CMS Price Transparency Data

Bunion correction surgery

Facility: Kenmore Mercy Hospital

Billing Code: 28296 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$776

about 0.2× the $3,343 Medicare rate · typically $538–$1,237

modeled estimate · not a bill or quote

What this hospital charges insurers

$586

Below the fair price — a good deal

about $190 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $776 This hospital $586 Cash price $1,652 Hospital's list price $1,652

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

One of the lower prices — 6 of 8 other NY hospitals charge more for the same procedure.

Cheapest $536 Priciest $784

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

A fair price for a Bunion correction surgery is about $776 (about 0.2× the $3,343 Medicare rate). Kenmore Mercy Hospital charges insurers about $586, or about $1,652 in cash — below the fair price — a good deal. Located in Kenmore, NY.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser 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	$349 - $574	10%
Blue Cross Blue Shieldmajor	$288 - $728	9%
Aetnamajor	$524	16%
Cignamajor	$499 - $724	15%
Humanamajor	$524	16%
Amerigroup	$288	9%
Fidelis Care	$524 - $599	16%
Independent Health	$288 - $654	9%
Molina	$648	19%
MVP Health Care	$641	19%
UPMC Health Plan	$898	27%
WellCare	$524 - $549	16%
+ 16 smaller / regional plans	$288 - $1,574

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 1,652), 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 Kenmore Mercy 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 Kenmore Mercy Hospital

Compare: Bunion correction surgery at other NY hospitals

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