Specialty Physician Complete Packaged Procedure. Bunions. A bunion is a structural anomaly of the bones and the joint between the foot and big toe,which may be painful.It is an enlUSAement of bone or tissue around the joint at the base of the big toe. Nonsurgical treatments that may relieve the pain and pressure of a bunion include: changing shoes,padding and taping, analgesics and shoe inserts. Surgical treatment is for very painful bunions and includes a bunionectomy and bone realignment. Treatment cost includes the facility fee, physician’s fee, related medical procedures and drugs required to administer the plan of care. Not included are diagnostic studies, consultations with additional specialists and cost of complication management; travel, food and lodging.