Bunion Surgery (Bunionectomy) Cost in 2026
Typical Out-of-Pocket: With Insurance vs Without
- PPO (typical)$2,809
- HDHP (high-deductible)$3,540
- Medicare (outpatient)$596
Hospital sticker before any insurance discount.
Insurance estimates use 2025 averages from the KFF Employer Health Benefits Survey: $1,886 avg deductible, 20% hospital coinsurance, OOP max $5,000 (typical PPO) to $8,300 (HDHP statutory). Medicare uses 2025 Part A deductible ($1,676) for inpatient and Part B 20% coinsurance for outpatient (CMS). Reflects employer-sponsored insurance and Original Medicare. Excludes Medicaid, ACA marketplace, and short-term plans. Real OOP varies by plan, network, and state.
Understanding the Investment
- National average: $6,500 (range: $3,500–$12,000)
- Insurance: Usually Covered — Covered when medically necessary — pain, difficulty walking, failed...
- Recovery: 28–84 days typical downtime
- Biggest cost driver: Facility type — outpatient centers can be 30–50% less than hospitals
Bunion surgery, or bunionectomy, corrects a painful bony bump that forms on the joint at the base of your big toe. Approximately 23% of adults in the US develop bunions. The procedure aims to relieve pain and restore proper alignment, improving mobility and comfort.
Facility fees significantly impact the total cost, with hospital-based procedures typically more expensive than those at ambulatory surgery centers. The complexity of your bunion, including the severity of the deformity and the surgical technique required, will also influence the final price.
Consider an outpatient surgical center (ASC) for your procedure; these facilities often have lower overhead, leading to substantial cost savings compared to hospitals. The average total costs are 26% lower at ASCs than at hospital outpatient departments. Confirm all costs with your provider before scheduling.
Where does your money go?
Typical allocation for a bunion surgery (bunionectomy) procedure at the national average price point.
Bunion Surgery (Bunionectomy) Guides
Bunion Surgery (Bunionectomy) Cost by State
Geographic location plays a significant role — cost-of-living adjustments, regional demand for top specialists, and facility competition all affect pricing.
5 Cheapest States
- Mississippi $5,752-11.5%
- West Virginia $5,837-10.2%
- Alabama $5,882-9.5%
- Arkansas $5,928-8.8%
- Missouri $5,967-8.2%
5 Most Expensive States
- Hawaii $7,566+16.4%
- California $7,364+13.3%
- New York $7,332+12.8%
- Massachusetts $7,248+11.5%
- District of Columbia $7,182+10.5%
State-by-State Pricing Atlas
Click any state to see detailed pricing, regional cost factors, and top cities.
Bunion Surgery (Bunionectomy) Cost in All 50 States
Already seen the cheapest and most expensive? Expand the full sortable table to compare every state.
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| State ▲▼ | Avg Cost ▲▼ | vs National ▲▼ | |
|---|---|---|---|
| Alabama | $5,882 | -9.5% | |
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| Alaska | $7,066 | +8.7% | |
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| Arizona | $6,552 | +0.8% | |
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| Arkansas | $5,928 | -8.8% | |
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| California | $7,364 | +13.3% | |
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| Colorado | $6,838 | +5.2% | |
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| Connecticut | $7,137 | +9.8% | |
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| Delaware | $6,662 | +2.5% | |
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| District of Columbia | $7,182 | +10.5% | |
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| Florida | $6,519 | +0.3% | |
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| Georgia | $6,370 | -2.0% | |
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| Hawaii | $7,566 | +16.4% | |
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| Idaho | $6,318 | -2.8% | |
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| Illinois | $6,578 | +1.2% | |
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| Indiana | $6,227 | -4.2% | |
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| Iowa | $6,208 | -4.5% | |
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| Kansas | $6,162 | -5.2% | |
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| Kentucky | $6,000 | -7.7% | |
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| Louisiana | $6,058 | -6.8% | |
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| Maine | $6,747 | +3.8% | |
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| Maryland | $6,942 | +6.8% | |
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| Massachusetts | $7,248 | +11.5% | |
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| Michigan | $6,468 | -0.5% | |
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| Minnesota | $6,727 | +3.5% | |
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| Mississippi | $5,752 | -11.5% | |
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| Missouri | $5,967 | -8.2% | |
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| Montana | $6,338 | -2.5% | |
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| Nebraska | $6,272 | -3.5% | |
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| Nevada | $6,532 | +0.5% | |
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| New Hampshire | $6,858 | +5.5% | |
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| New Jersey | $7,118 | +9.5% | |
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| New Mexico | $6,097 | -6.2% | |
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| New York | $7,332 | +12.8% | |
| North Carolina | $6,422 | -1.2% | |
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| North Dakota | $6,188 | -4.8% | |
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| Ohio | $6,390 | -1.7% | |
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| Oklahoma | $6,032 | -7.2% | |
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| Oregon | $6,988 | +7.5% | |
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| Pennsylvania | $6,617 | +1.8% | |
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| Rhode Island | $6,812 | +4.8% | |
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| South Carolina | $6,078 | -6.5% | |
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| South Dakota | $6,292 | -3.2% | |
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| Tennessee | $6,123 | -5.8% | |
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| Texas | $6,253 | -3.8% | |
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| Utah | $6,448 | -0.8% | |
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| Vermont | $6,792 | +4.5% | |
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| Virginia | $6,708 | +3.2% | |
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| Washington | $6,968 | +7.2% | |
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| West Virginia | $5,837 | -10.2% | |
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| Wisconsin | $6,487 | -0.2% | |
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| Wyoming | $6,142 | -5.5% | |
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Real Hospital Charges (CMS Medicare Data)
Across 536 hospitals and surgery centers in the CMS Medicare data for bunion surgery (bunionectomy), average billed charges range from $30,734 to $527,144, with a national median of $95,747. The table below lists the highest-volume facilities by reported case count.
| Hospital | Location | Avg Billed Charge | Avg Medicare Payment |
|---|---|---|---|
| Saint Thomas Hospital For Specialty Surgery | Nashville, TN | $87,917 | $17,903 |
| Merit Health River Oaks | Flowood, MS | $254,223 | $17,599 |
| Saint Francis Hospital | Charleston, WV | $49,144 | $18,048 |
| Christianacare | Newark, DE | $77,114 | $20,855 |
| Mercyone Des Moines Medical Center | Des Moines, IA | $134,226 | $17,878 |
| Baptist Health Medical Center-Little Rock | Little Rock, AR | $50,439 | $17,725 |
| Bon Secours-St Francis Xavier Hospital | Charleston, SC | $73,480 | $18,552 |
| St Joseph's Hospital - Savannah | Savannah, GA | $84,056 | $17,276 |
| Huntsville Hospital | Huntsville, AL | $140,334 | $16,697 |
| Baylor Scott & White Texas Spine & Joint Hospital | Tyler, TX | $55,734 | $17,282 |
| Parkwest Medical Center | Knoxville, TN | $87,151 | $16,525 |
| Orthopaedic Hospital At Parkview North Llc | Fort Wayne, IN | $148,946 | $19,194 |
| Chi St Vincent Infirmary | Little Rock, AR | $77,275 | $18,176 |
| Cone Health | Greensboro, NC | $105,597 | $18,904 |
| Renown Regional Medical Center | Reno, NV | $98,828 | $20,223 |
| Abington Memorial Hospital | Abington, PA | $63,762 | $20,261 |
| Baystate Medical Center | Springfield, MA | $46,883 | $23,421 |
| Asante Rogue Regional Medical Center | Medford, OR | $110,244 | $22,250 |
| St Vincent's Birmingham | Birmingham, AL | $88,740 | $17,307 |
| Mercyone North Iowa Medical Center | Mason City, IA | $63,151 | $19,707 |
Billed charges are a hospital's list price and are typically far higher than what is actually paid. The Avg Medicare Payment column shows what Medicare actually reimbursed for the same procedure at that facility.
Source: CMS Medicare Provider Utilization and Payment Data (2023).
Primary Pricing Factors
Three variables explain most of the cost variation you'll see across the same procedure.
The Road to Results
Recovery is an investment of time. Understanding the phases helps you plan downtime and set expectations.
Before your bunion surgery, you'll have a consultation with your surgeon to discuss the procedure, your medical history, and any medications you're taking. They may order X-rays or other tests. Be sure to ask about which medications to stop before surgery, such as blood thinners, and whether you need to start any new ones.
On the day of surgery, you'll likely receive local anesthesia with sedation or general anesthesia. The procedure typically takes 60–120 minutes, during which the surgeon will realign the bones, tendons, and ligaments in your big toe. After surgery, you'll be monitored as you wake up.
In the first 24-48 hours, expect some pain and swelling. Keep your foot elevated and use ice packs to minimize discomfort. You'll need someone to drive you home, so plan accordingly. Full recovery can take 4–12 weeks. You'll likely need to wear a special boot or cast and gradually increase weight-bearing activities. Factor in time off work, especially if your job involves standing or walking. Regular follow-up visits with your surgeon are crucial to monitor your progress and ensure proper healing.
Paying for Bunion Surgery (Bunionectomy)
Usually Covered by InsuranceCovered when medically necessary — pain, difficulty walking, failed conservative treatment. Documentation required.
Financing Options
- 0% APR credit lines — CareCredit and Alphaeon are accepted by most bunion surgery (bunionectomy) providers and offer interest-free promotional periods
- Direct surgeon financing — many bunion surgery (bunionectomy) practices have their own installment plans with flexible terms
- Health savings accounts — HSA and FSA accounts cover medically necessary bunion surgery (bunionectomy) — a smart way to use pre-tax dollars
- Medical personal loans — fixed-rate loans through LightStream or SoFi can cover the full $6,500 with predictable monthly payments
- Negotiated pricing — always ask for cash-pay or self-pay rates — they're often lower than the insured price