Cost of Surgery

Bunion Surgery

KNOW YOUR INSURANCE: THE BASICS

Most patients have insurance and as in any medical procedure, each insurance pays differently. First, call your insurance company and verify your benefits with our facility to find out your eligibility.  Based on the benefits, we will be able to anticipate your out of pocket cost.

  • We are a non-contracted PPO provider (out of network provider).
  • We do NOT accept medicare, medical, or HMO’s, therefore you would be considered a cash patient.
  • The diagnosis code for a bunion is M20.11 for the right foot and M20.12 for the left.
  • The procedure code to correct the bunion is 28296.

Because many patients are confused with deductibles, the insurance deductible is a certain amount of money you have to pay first, before your insurance will start applying payment to the surgical charges.

The best thing to do is contact the office and talk with our office manager, Penny, about your particular situation, whether you are insured or not.

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HMO

Health Maintenance Organization

X
 
Restricted to in-network providers only
Required to choose an in-network primary care physician (PCP)
EPO

. Exclusive Provider Organization

X
 
Restricted to in-network providers only
Required to choose an in-network primary care physician (PCP)
POS

Point Of
Service

YES
 
 
Required to choose an in-network primary care physician (PCP)
 
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PPO

.Preferred Provider Organization

YES
 
 
Allows patients relative freedom to choose the doctors and hospitals they want to visit.
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MEDICARE

Federal Health Insurance 65+years

X
 
UNINSURED

Not involved in an Insurance Plan

X
 

Type of Surgeries

There are different types of surgery that can be performed to alleviate the pain associated with a bunion.
More that one procedure may be done at the same time.

Some types of surgery include

  • Bunionectomy – removal of part of the metatarsal head (the part of the foot that is bulging out).
  • Osteotomy – Making small cuts in the bones and realigning the joint into a more normal position
  • Resection Arthroplasty – Removing any damaged parts of the joint
  • Arthrodesis – shortening and repairing the tendons and ligaments that surround the misaligned bone so that they may keep the bone from moving back out of position

3 Components to the Cost of Surgery

There are three components of the cost of bunion surgery.

    • Surgical Repair/Physician’s Fee. This is what the physician will take for his job along with any post-operative expenses.
    • Facility Services. You will need to go to an outpatient surgery center to get a bunion surgery. This is the fee for the operating room, pre-operative testing, supplies and any medications needed before and during the surgery.
    • Anesthesiologist. You will have to pay anesthesia services separately and this will include the cost of the anesthesiologist and the meds required for the anesthesia along with some pre and post-operative services.