CMS Price Transparency Data

Bunion correction surgery

Facility: South County Hospital Inc

Billing Code: 28296 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$4,357

about 1.3× the $3,343 Medicare rate · typically $2,446–$6,206

modeled estimate · not a bill or quote

What this hospital charges insurers

$2,320

Below the fair price — a good deal

about $2,037 under the fair price · 0.7× Medicare

Medicare pays $3,343 Fair price $4,357 This hospital $2,320 Cash price $4,989 Hospital's list price $8,316

How we calculate the fair BaseRate →

How this hospital compares to other RI hospitals

Lowest price of the 5 RI hospitals we have prices for — a strong deal.

Cheapest $2,320 Priciest $6,757

Black dot = this hospital, among the 5 RI hospitals with a price for this procedure. Full list below.

A fair price for a Bunion correction surgery is about $4,357 (about 1.3× the $3,343 Medicare rate). South County Hospital Inc charges insurers about $2,320, or about $4,989 in cash — below the fair price — a good deal. Located in Wakefield, RI.

What each insurance company pays

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

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

✓ UnitedHealthcare Blue Cross Blue ShieldAetnaCignaHumanaKaiser 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	$1,365	41%
Tufts Health Plan	$3,276	98%
+ 1 smaller / regional plan	$4,553

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 4,989), 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 South County Hospital Inc 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 South County Hospital Inc

Compare: Bunion correction surgery at other RI hospitals

Landmark Medical Center · Woonsocket $3,661
Rhode Island Hospital · Providence $6,043
The Miriam Hospital · Providence $6,284
Newport Hospital · Newport $6,757

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