CMS Price Transparency Data

Bunion correction surgery

Facility: Providence Regional Medical Center Everett

Billing Code: 28296 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$7,100

about 2.1× the $3,343 Medicare rate · typically $4,741–$8,677

modeled estimate · not a bill or quote

What this hospital charges insurers

$6,803

About the fair price

about $297 under the fair price · 2.0× Medicare

Medicare pays $3,343 Fair price $7,100 This hospital $6,803

How we calculate the fair BaseRate →

How this hospital compares to other WA hospitals

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

Cheapest $516 Priciest $6,803

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

A fair price for a Bunion correction surgery is about $7,100 (about 2.1× the $3,343 Medicare rate). Providence Regional Medical Center Everett charges insurers about $6,803 — about the fair price. Located in Everett, WA.

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✓ Kaiser Permanente Humana

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	$3,912 - $11,556	117%
Blue Cross Blue Shieldmajor	$4,024 - $8,185	120%
Aetnamajor	$3,838 - $12,902	115%
Cignamajor	$9,161	274%
Kaiser Permanentemajor	$3,726 - $5,589	111%
Amerigroup	$4,099	123%
Providence Health Plan	$8,645	259%
+ 3 smaller / regional plans	$5,962 - $10,375

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, 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 Providence Regional Medical Center Everett 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 Providence Regional Medical Center Everett

Compare: Bunion correction surgery at other WA hospitals

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