CMS Price Transparency Data

Bunion correction surgery

Facility: Baylor Scott & White Medical Center Pflugerville

Billing Code: 28296 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$3,216

about 1.0× the $3,343 Medicare rate · typically $1,135–$3,823

modeled estimate · not a bill or quote

What this hospital charges insurers

$3,554

About the fair price

about $338 over the fair price · 1.1× Medicare

Medicare pays $3,343 Fair price $3,216 This hospital $3,554 Cash price $4,740 Hospital's list price $7,900

How we calculate the fair BaseRate →

How this hospital compares to other TX hospitals

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

Cheapest $470 Priciest $3,554

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

A fair price for a Bunion correction surgery is about $3,216 (about 1.0× the $3,343 Medicare rate). Baylor Scott & White Medical Center Pflugerville charges insurers about $3,554, or about $4,740 in cash — about the fair price. Located in Pflugerville, TX.

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	$3,330 - $6,110	100%
Blue Cross Blue Shieldmajor	$4,051 - $4,927	121%
Aetnamajor	$8,360	250%
Cignamajor	$3,752 - $5,250	112%
Humanamajor	$2,895 - $5,670	87%
Baylor Scott & White	$2,751 - $4,777	82%
Cigna HealthSpring	$3,040	91%
+ 8 smaller / regional plans	$3,040 - $5,925

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

Excludes 6 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 4,740), 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 Baylor Scott & White Medical Center Pflugerville 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 Baylor Scott & White Medical Center Pflugerville

Compare: Bunion correction surgery at other TX hospitals

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