CMS Price Transparency Data

Bunion correction surgery

Facility: The University of Vermont Health Network-Alice Hy

Billing Code: 28296 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$795

about 0.2× the $3,343 Medicare rate · typically $551–$3,461

modeled estimate · not a bill or quote

What this hospital charges insurers

$697

Below the fair price — a good deal

about $98 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $795 This hospital $697 Cash price $2,743 Hospital's list price $2,743

How we calculate the fair BaseRate →

How this hospital compares to other NY hospitals

A typical price — 3 charge more and 5 charge less, among the 9 NY hospitals compared.

Cheapest $536 Priciest $784

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

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Bunion correction surgery is about $795 (about 0.2× the $3,343 Medicare rate). The University of Vermont Health Network-Alice Hy charges insurers about $697, or about $2,743 in cash — below the fair price — a good deal. Located in Malone, NY.

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✓ Humana CignaKaiser 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	$571 - $9,020	17%
Blue Cross Blue Shieldmajor	$504 - $10,499	15%
Aetnamajor	$490 - $751	15%
Humanamajor	$417	12%
Fidelis Care	$417 - $564	12%
MagnaCare	$2,194	66%
MVP Health Care	$417 - $1,970	12%
+ 4 smaller / regional plans	$555 - $1,781

Government programs also on file: Military & VA.

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 2,743), 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 The University of Vermont Health Network-Alice Hy 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 The University of Vermont Health Network-Alice Hy

Compare: Bunion correction surgery at other NY hospitals

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