CMS Price Transparency Data

Bunion correction surgery

Facility: Samaritan North Lincoln Hospital

Billing Code: 28296 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$967

about 0.3× the $3,343 Medicare rate · typically $843–$1,477

modeled estimate · not a bill or quote

What this hospital charges insurers

$974

About the fair price

about $7 over the fair price · 0.3× Medicare

Medicare pays $3,343 Fair price $967 This hospital $974 Cash price $2,963 Hospital's list price $3,704

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

One of the lower prices — 4 of 8 other OR hospitals charge more for the same procedure.

Cheapest $561 Priciest $2,311

Black dot = this hospital, among the 9 OR 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 $967 (about 0.3× the $3,343 Medicare rate). Samaritan North Lincoln Hospital charges insurers about $974, or about $2,963 in cash — about the fair price. Located in Lincoln City, OR.

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

✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana UnitedHealthcareKaiser 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	$550 - $2,766	16%
Aetnamajor	$855 - $1,971	26%
Cignamajor	$489 - $1,796	15%
Humanamajor	$497 - $979	15%
Devoted Health	$497 - $959	15%
Health Net	$497 - $1,530	15%
Moda Health	$610 - $2,963	18%
PacificSource	$427 - $1,990	13%
+ 4 smaller / regional plans	$496 - $2,963

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 2,963), 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 Samaritan North Lincoln 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 Samaritan North Lincoln Hospital

Compare: Bunion correction surgery at other OR hospitals

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