CMS Price Transparency Data

Bunion correction surgery

Facility: Tennova Healthcare - Clarksville

Billing Code: 28296 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,328

about 1.0× the $3,343 Medicare rate · typically $2,997–$3,581

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,349

About the fair price

about $21 over the fair price · 1.0× Medicare

Medicare pays $3,343 Fair price $3,328 This hospital $3,349 Cash price $9,177 Hospital's list price $47,305

How we calculate the fair BaseRate →

How this hospital compares to other TN hospitals

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

Cheapest $846 Priciest $3,349

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

A fair price for a Bunion correction surgery is about $3,328 (about 1.0× the $3,343 Medicare rate). Tennova Healthcare - Clarksville charges insurers about $3,349, or about $9,177 in cash — about the fair price. Located in Clarksville, TN.

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	$1,596 - $3,390	48%
Blue Cross Blue Shieldmajor	$990 - $8,468	30%
Aetnamajor	$1,715 - $10,691	51%
Cignamajor	$3,174 - $7,067	95%
Humanamajor	$3,228 - $10,407	97%
Ambetter (Centene)	$6,068	182%
Amerigroup	$2,262 - $3,389	68%
Cigna HealthSpring	$3,292	98%
Devoted Health	$3,279	98%
Oscar Health	$7,193	215%
WellCare	$3,280 - $11,826	98%
+ 11 smaller / regional plans	$3,228 - $42,574

Government programs also on file: Medicare, Medicaid, Military & VA.

Excludes 11 rental-network / third-party entries (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 9,177), 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 Tennova Healthcare - Clarksville 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 Tennova Healthcare - Clarksville

Compare: Bunion correction surgery at other TN hospitals

Williamson Medical Center · Franklin $846
Erlanger Medical Center · Chattanooga $1,170
Dekalb Community Hospital · Smithville $1,509
Saint Thomas Highlands Hospital · Sparta $1,509
Stones River Hospital · Woodbury $1,535
Saint Thomas Hickman Hospital · Centerville $1,535
Saint Thomas Rutherford Hospital · Murfreesboro $1,706
Ascension Saint Thomas Hospital · Nashville $1,706

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