CMS Price Transparency Data

Bunion correction surgery

Facility: Mercy Medical Center

Billing Code: 28296 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,114

about 0.9× the $3,343 Medicare rate · typically $841–$4,170

modeled estimate · not a bill or quote

What this hospital charges insurers

$750

Below the fair price — a good deal

about $2,364 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $3,114 This hospital $750 Cash price $1,931 Hospital's list price $2,971

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

A typical price — 4 charge more and 3 charge less, among the 9 OH hospitals compared.

Cheapest $470 Priciest $1,991

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

A fair price for a Bunion correction surgery is about $3,114 (about 0.9× the $3,343 Medicare rate). Mercy Medical Center charges insurers about $750, or about $1,931 in cash — below the fair price — a good deal. Located in Canton, OH.

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	$314 - $3,308	9%
Blue Cross Blue Shieldmajor	$490 - $3,473	15%
Aetnamajor	$490 - $2,998	15%
Cignamajor	$490 - $3,088	15%
Humanamajor	$490 - $2,998	15%
AmeriHealth	$346 - $3,639	10%
CareSource	$324 - $3,407	10%
Molina	$346 - $3,473	10%
Oscar Health	$793	24%
UniCare	$514 - $3,148	15%
+ 11 smaller / regional plans	$318 - $4,898

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 1,931), 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 Mercy Medical Center 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 Mercy Medical Center

Compare: Bunion correction surgery at other OH hospitals

Genesis Hospital · Zanesville $470
Southern Ohio Medical Center · Portsmouth $588
Galion Community Hospital · Galion $625
Union Hospital · Dover $750
Southwest General Health Center · Middleburg Heights $863
Akron Children's Hospital · Akron $863
Nationwide Children's Hospital · Columbus $1,485
Cleveland Clinic · Cleveland $1,991

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