CMS Price Transparency Data

Bunion correction surgery

Facility: Cleveland Clinic Avon Hospital

Billing Code: 28296 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,149

about 0.9× the $3,343 Medicare rate · typically $1,471–$3,149

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,008

About the fair price

about $141 under the fair price · 0.9× Medicare

Medicare pays $3,343 Fair price $3,149 This hospital $3,008

How we calculate the fair BaseRate →

How this hospital compares to other OH hospitals

Highest price of the 9 OH hospitals we have prices for — worth calling around.

Cheapest $470 Priciest $3,008

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 $3,149 (about 0.9× the $3,343 Medicare rate). Cleveland Clinic Avon Hospital charges insurers about $3,008 — about the fair price. Located in Avon, 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	$3,008 - $3,519	90%
Blue Cross Blue Shieldmajor	$2,825 - $3,453	85%
Aetnamajor	$3,008	90%
Cignamajor	$3,098	93%
Humanamajor	$3,008	90%
CareSource	$3,519	105%
Devoted Health	$3,008	90%
Molina	$3,453	103%
UniCare	$3,158	94%
UPMC Health Plan	$3,008	90%
+ 7 smaller / regional plans	$3,008 - $3,453

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, 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 Cleveland Clinic Avon 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 Cleveland Clinic Avon Hospital

Compare: Bunion correction surgery at other OH hospitals

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