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Reviewed by John Caruso, FSA, MAAA • Data last updated

Bunion Surgery Cost in North Carolina (2026): Average Prices & What You'll Pay

What does a bunion surgery cost in North Carolina?

The same bunion surgery in North Carolina might cost you $3,043 at one facility and $3,180 at another - the building you walk into drives the difference. The median cash price across 62 reporting hospitals is $3,147. These figures come straight from hospital price transparency files published under federal law.

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Where bunion surgery costs vary in North Carolina

Pins show hospitals with price-transparency data (colored by vs. state average) and nearby ambulatory surgery centers and other facilities (colored by type). Click any pin for facility name and estimated cost range.

Hospital (below avg) Hospital (above avg) Click a pin for details.

26+ people checked prices near them this month.

What you pay for a bunion surgery depends on where you go and what is billed separately. Most patients find out after.

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Cheapest Bunion Surgery Providers in North Carolina

Based on declared cash/self-pay prices from CMS hospital price transparency files.

# Facility City Price vs median ($3,147)
1 J Arthur Dosher Memorial Hospital Southport, NC $1,078 $2,069 below
2 DUKE UNIVERSITY HEALTH SYSTEM, INC. Doing Business As: DURHAM REGIONAL HOSPITAL Durham, NC $1,164 $1,983 below
3 DUKE UNIVERSITY HEALTH SYSTEM, INC. Doing Business As: DUKE UNIVERSITY HOSPITAL Durham, NC $1,311 $1,836 below
4 MISSION HOSPITAL Asheville, NC $2,019 $1,128 below
5 MISSION HOSPITAL MCDOWELL Marion, NC $2,019 $1,128 below
6 Henderson County Hospital Corporation Hendersonville, NC $2,457 $690 below
7 Highsmith-Rainey Specialty Hospital Fayetteville, NC $2,594 $553 below
8 Cumberland County Hospital System Inc Fayetteville, NC $2,675 $472 below

Prices are declared self-pay rates. Contact each facility for a formal quote before scheduling.

Before you book: three questions that change the price

  1. Is this the self-pay price, and does it include the doctor, anesthesia and any lab or pathology? Those are often billed separately.
  2. Can you give me the price in writing, with the billing codes it covers?
  3. What happens to the price if something extra is needed during the procedure?

Estimate your out-of-pocket cost →  ·  When the bills arrive, we check them for errors →

Quick take

  • J Arthur Dosher Memorial Hospital is the lowest-cost option at $1,078 - $2,069 below the median posted price ($3,147), just by choosing where you go.
  • Ask for the cash price if your deductible isn't met - the median cash price here is $3,147, and it's often lower than what insurance pays before your deductible is satisfied.
  • Freestanding ambulatory surgical centers (ASCs) are often 30-60% cheaper than hospital outpatient departments for the same procedure and may not appear in this hospital-only dataset - ask your doctor if one is an option.

How where you go changes what you pay for bunion surgery

The same bunion surgery bundles different services depending on the setting - facility fee, surgeon fee, and anesthesia each arrive as separate bills. Estimated ranges below reflect the typical full bundled cost, including all expected charges.

Hospital Outpatient
$1,512–$31,926
  • Facility fee $775–$29,518
  • Professional fee $737–$2,408

Estimated from CMS fee schedules + commercial rate multipliers

Atrium Health (formerly Carolinas HealthCare) and Wake Forest Baptist Health have merged into one of the largest nonprofit health systems in the Southeast. Duke Health and UNC Health anchor the Research Triangle academic tier, creating a market where major academic centers hold outsized pricing leverage. North Carolina has been an active target for FTC scrutiny of hospital consolidation.

Received a bill? Check it for errors → Estimate YOUR cost before you go → Managing more than one bill? See the family tracker →

Why prices vary - and what it means for your coverage

A small number of hospitals (13) report prices above $3,624, including Wilson Medical Center at $11,862, which drives most of the overall spread - excluding them, most facilities cluster in a much tighter band. Facility classification matters as much as the hospital itself - a hospital-owned outpatient center adds a facility fee that a freestanding clinic does not. Setting drives most of the spread here: an ambulatory surgical center (ASC) is usually meaningfully cheaper than a hospital operating room for the same procedure, when your case qualifies.

None of the prices above are what you'll necessarily owe: your deductible, out-of-pocket maximum, and each provider's network status all still apply.

Your situation Estimated out-of-pocket
Deductible not yet met ~$3,147
Deductible met - 20% coinsurance ~$629
Out-of-network provider $6,923+

Frequently asked questions: bunion surgery costs in North Carolina

How much does a bunion surgery cost in North Carolina?

The typical insurer-negotiated rate is $3,124, with most facilities between $2,512 and $3,179 (based on 62 hospitals reporting negotiated rates). Posted cash prices start at $1,078, with a median of $3,147; outlier facilities are left out. What you pay depends on the facility, your insurance, and whether you have met your deductible.

Where is the cheapest place to get a bunion surgery in North Carolina?

Based on declared prices, the lowest posted price in our North Carolina data is J Arthur Dosher Memorial Hospital in Southport at about $1,078. By metro, Durham has the lowest median ($1,311). Freestanding ambulatory surgery centers are often cheaper still and may not appear in hospital price data - ask your doctor whether one is an option.

Why is a bunion surgery so much cheaper at some North Carolina hospitals?

Typical prices vary about 1.3× (25th to 70th percentile of negotiated rates) because each hospital sets its own list price, cash discount, and insurer-negotiated rates. In North Carolina, the median cash (self-pay) price is $3,147 versus a median negotiated rate of $3,124 - about 1× higher. Asking for the cash price as well as your insurer's negotiated rate is often the single biggest lever on what you pay.

How much will I actually pay out of pocket for a bunion surgery in North Carolina?

Your out-of-pocket cost depends on your deductible, coinsurance, out-of-pocket maximum, and whether the facility is in-network - not just the sticker price. If you have not met your deductible, you will typically pay the negotiated rate in full until you do. Use the CostKits cost forecaster to estimate your specific out-of-pocket amount before you go.

Before you book

Other procedures in North Carolina

Bunion Surgery, elsewhere

CostKits compiles hospital price transparency data to help families make informed decisions. Track and manage your healthcare costs (free account).

Other Procedure Costs in North Carolina

Bone, joint and pain

Imaging and scans

Heart and cardiac tests

Sleep and breathing tests

Scopes and screening

General surgery

Lab tests

Ear, nose and throat

Urology and women's health

Eye care

Infusions

Emergency care

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About the Author

John Caruso, FSA, MAAA

Healthcare actuary with 20+ years of experience in insurance pricing, medical billing systems, and healthcare cost analytics.

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Published October 29, 2026 · Updated October 29, 2026

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