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Related Experiment Video

Updated: Apr 24, 2026

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
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Availability of consumer prices for bunion surgery.

James C Willey1, Lainee S Reuter1, Daniel A Belatti2

  • 1Department of Orthopaedics and Rehabilitation, University of Iowa, Iowa City, IA, USA.

Foot & Ankle International
|September 12, 2014
PubMed
Summary

Price transparency for bunion repair surgery is low, with few clinics offering bundled cost estimates. However, significant price variations exist, allowing informed patients to potentially reduce surgical costs by careful provider selection.

Keywords:
bunionfoot and ankle surgeryhallux valgusprice availabilityprice transparencyprice variability

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Area of Science:

  • Health economics
  • Medical economics
  • Surgical cost analysis

Background:

  • Patient insurance insulates individuals from healthcare service costs, potentially leading to overutilization.
  • Restoring price consciousness in patients is proposed as a strategy to control rising US healthcare expenditures.
  • This study investigates price quote availability and variability for bunion repair, a common elective surgery.

Observation:

  • Researchers contacted orthopedic clinics listed by the American Orthopaedic Foot and Ankle Society.
  • A standardized script was used to request bundled price quotes; physician-only fees were solicited if bundled quotes were unavailable.
  • Clinics were contacted up to three times to obtain pricing information.

Findings:

  • Only 8.5% of contacted clinics provided a complete bundled price quote for bunion repair.
  • 39.7% of clinics could offer a physician fee estimate, but not a full bundled cost.
  • The average bundled price quote was $18,332, with an average physician fee of $2,487.

Implications:

  • Low availability of price information for elective surgeries like bunion repair hinders patient cost awareness.
  • Significant price variation suggests that patients who actively compare providers may achieve substantial cost savings.
  • Encouraging price transparency could empower patients and potentially moderate healthcare spending.