CMS Price Transparency Data

Bunion correction surgery

Facility: Adventist Health Tillamook

Billing Code: 28296 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$874

about 0.3× the $3,343 Medicare rate · typically $486–$2,988

modeled estimate · not a bill or quote

What this hospital charges insurers

$561

Below the fair price — a good deal

about $313 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $874 This hospital $561 Cash price $1,098 Hospital's list price $2,034

How we calculate the fair BaseRate →

How this hospital compares to other OR hospitals

Lowest price of the 9 OR hospitals we have prices for — a strong deal.

Cheapest $561 Priciest $2,311

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

A fair price for a Bunion correction surgery is about $874 (about 0.3× the $3,343 Medicare rate). Adventist Health Tillamook charges insurers about $561, or about $1,098 in cash — below the fair price — a good deal. Located in Tillamook, OR.

What each insurance company pays

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

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

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna CignaHumanaKaiser 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	$1,007	30%
Blue Cross Blue Shieldmajor	$547 - $1,770	16%
Aetnamajor	$475 - $965	14%
Devoted Health	$513	15%
Health Net	$1,912	57%
Moda Health	$485	15%
PacificSource	$1,039	31%
+ 7 smaller / regional plans	$494 - $1,993

Government programs also on file: Medicare.

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 1,098), 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 Adventist Health Tillamook 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 Adventist Health Tillamook

Compare: Bunion correction surgery at other OR hospitals

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