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Bunion surgery in Pennsylvania: what insurers pay

Posted commercial rates at 5 Pennsylvania hospitals, each next to its own Medicare base rate.

Open in the explorerAll statesEvery bill for the whole procedure

CPT 28296

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$4,7881.4×22026-04-01
Upmc Presbyterian Shadyside Pittsburgh$5,0311.6×12026-03-06
Bryn Mawr Hospital Bryn Mawr$5,0611.5×22026-04-01
Thomas Jefferson University Hospital Philadelphia$9,1722.7×32026-09-15

CPT 28297

HospitalMedian across insurers× MedicareInsurersFile date
Thomas Jefferson University Hospital Philadelphia$9,3040.7×22026-09-15
Riddle Memorial Hospital Media$16,4871.3×12026-04-01
Bryn Mawr Hospital Bryn Mawr$16,6271.3×12026-04-01

CPT 28292

HospitalMedian across insurers× MedicareInsurersFile date
Riddle Memorial Hospital Media$4,0661.2×22026-04-01
Bryn Mawr Hospital Bryn Mawr$4,3391.3×22026-04-01
Thomas Jefferson University Hospital Philadelphia$6,9932.1×32026-09-15
Lehigh Valley Hospital Allentown$7,8532.4×82026-07-01

Questions

How much do insurers pay for bunion surgery in Pennsylvania?

5 Pennsylvania hospitals post usable commercial rates for bunion surgery in their federal price-transparency files. For CPT 28296, hospital outpatient, the median across 4 hospitals is $5,046, 1.5× each hospital's local Medicare base rate. Your share depends on your plan's deductible and coinsurance; the surgeon and anesthesia bill separately.