CMS Price Transparency Data

Bunion correction surgery

Facility: West Penn Hospital

Billing Code: 28296 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$669

about 0.2× the $3,343 Medicare rate · typically $589–$1,261

modeled estimate · not a bill or quote

What this hospital charges insurers

$602

Below the fair price — a good deal

about $67 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $669 This hospital $602 Cash price $395 Hospital's list price $1,462

How we calculate the fair BaseRate →

How this hospital compares to other PA hospitals

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

Cheapest $571 Priciest $602

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

A fair price for a Bunion correction surgery is about $669 (about 0.2× the $3,343 Medicare rate). West Penn Hospital charges insurers about $602, or about $395 in cash — below the fair price — a good deal. Located in Pittsburgh, PA.

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	$96 - $10,953	3%
Blue Cross Blue Shieldmajor	$453 - $7,921	14%
Aetnamajor	$1,302 - $10,332	39%
Cignamajor	$823 - $10,357	25%
Humanamajor	$3,309	99%
AmeriHealth	$96 - $3,277	3%
Geisinger	$96 - $1,736	3%
Medical Mutual	$10,357	310%
Molina	$3,402	102%
+ 5 smaller / regional plans	$487 - $3,121

Government programs also on file: Medicare.

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 395), 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 West Penn 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 West Penn Hospital

Compare: Bunion correction surgery at other PA hospitals

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