CMS Price Transparency Data

Bunion correction surgery

Facility: Univ. of Vermont - Fletcher Allen Health Care

Billing Code: 28296 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$1,079

about 0.3× the $3,343 Medicare rate · typically $1,051–$1,639

modeled estimate · not a bill or quote

What this hospital charges insurers

$1,340

Above the fair price

about $261 over the fair price · 0.4× Medicare

Medicare pays $3,343 Fair price $1,079 This hospital $1,340 Cash price $3,688 Hospital's list price $3,688

How we calculate the fair BaseRate →

How this hospital compares to other VT hospitals

Highest price of the 7 VT hospitals we have prices for — worth calling around.

Cheapest $760 Priciest $1,340

Black dot = this hospital, among the 7 VT hospitals with a price for this procedure. Full list below.

A fair price for a Bunion correction surgery is about $1,079 (about 0.3× the $3,343 Medicare rate). Univ. of Vermont - Fletcher Allen Health Care charges insurers about $1,340, or about $3,688 in cash — above the fair price. Located in Burlington, VT.

This price is above the fair BaseRate — you may be able to pay less

Ask the hospital for the cash / self-pay price, check whether you qualify for financial assistance, or negotiate the bill down toward the fair price of about $1,079. Many patients pay well below the first number they’re quoted — the checklists below walk you through it.

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	$571 - $3,960	17%
Blue Cross Blue Shieldmajor	$504 - $7,234	15%
Aetnamajor	$494 - $3,270	15%
Cignamajor	$3,226	97%
Humanamajor	$494 - $3,270	15%
Fidelis Care	$568 - $3,597	17%
Harvard Pilgrim	$2,950	88%
MagnaCare	$2,950	88%
MVP Health Care	$420 - $3,352	13%
+ 4 smaller / regional plans	$494 - $3,352

Government programs also on file: Military & VA.

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 3,688), 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 Univ. of Vermont - Fletcher Allen Health Care 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 Univ. of Vermont - Fletcher Allen Health Care

Compare: Bunion correction surgery at other VT hospitals

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