Bunion correction surgery
Facility: Highpoint Health-Riverview With Ascension Saint Th
Billing Code: 28296 (CPT)
This hospital's typical commercial price is $1,799 compared to the $2,246 fair price benchmark.
4-Star CMS clinical quality rating paired with 0.80× fair market pricing.
Highest price of the 9 TN hospitals we have prices for — worth calling around.
Black dot = this hospital, among the 9 TN hospitals with a price for this procedure. Full list below.
Note: 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 $2,246 (about 0.7× the $3,343 Medicare rate). Highpoint Health-Riverview With Ascension Saint Th charges insurers about $1,799, or about $8,179 in cash — below the fair price — a good deal. Located in Carthage, TN.
What each insurance company pays
Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.
2 of 6 major insurers have a published price at this hospital
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 | $2,955 | 88% |
| Blue Cross Blue Shieldmajor | $1,703 - $1,799 | 51% |
Self-Pay How to get the cash price
Insurance Before you use insurance
Estimate your out-of-pocket cost
A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.
Other Procedures at Highpoint Health-Riverview With Ascension Saint Th
Compare: Bunion correction surgery at other TN hospitals
- Williamson Medical Center · Franklin $846
- Erlanger Bledsoe Hospital · Pikeville $991
- 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
Insurance negotiated median for the same procedure, sorted lowest first.
Audit a Bill or Quote at Highpoint Health-Riverview With Ascension Saint Th (Zero PHI Required)
Statutory 501(r) AGB Cap Limits Bill to $9,108
At 274% FPL (201%–400% FPL tier), 26 U.S.C. § 501(r)(5) caps FAP-eligible bills at Amounts Generally Billed (36.3% of gross = $9,108).
Self-Pay Cash Rate ($8,179) Beats Your Bill
Highpoint Health-Riverview With Ascension Saint Th's published 45 CFR § 180 self-pay cash rate is $8,179 (vs. $1,799 commercial insurer median). Ask billing to reclassify the visit to prompt-pay self-pay if it beats your deductible.
Negotiate Toward $2,246 Fair BaseRate ($3,343 Medicare)
Your bill ($25,090) is $22,844 above the denoised Fair BaseRate ($2,246) and 7.5× the $3,343 Medicare rate.
Clinical Quality, Patient Experience & Infection Benchmarks
Source: CMS Hospital Care Compare. Clinical quality metrics summarize historical facility-wide cohorts and are not medical advice for individual care decisions.
How to Pay Less Nearby: Freestanding Centers, Insurer Leverage & Outpatient Savings
Verify the Raw Data: Official Hospital MRF, CMS Medicare.gov & Federal Filings
Safe-Harbor Data Corrections: Parsed directly from public 45 CFR § 180 hospital filings, CMS Care Compare, and CMS HCRIS cost reports. Hospital compliance officers may submit updated MRF URLs or rate tables for verification.