Bunion correction surgery
Facility: Ohio Valley Surgical Hospital
Billing Code: 28296 (CPT)
- CPT Billing Code: 28296
- Insurance Median: $3,092
- Cash Discount Price: $11,012
- vs. Medicare Baseline: 0.92x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. Medicare
Understanding this gauge: We use the federal Medicare rate of $3,342.87 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Ngs Coresource | $1,006 | 30% |
| Pacific Source | $1,006 | 30% |
| Mhbp | $1,006 | 30% |
| Mail Handlers | $1,006 | 30% |
| Personify Health | $1,006 | 30% |
| Aetna | $1,006 - $3,092 | 30% |
| Genworth | $1,006 | 30% |
| Nippon Life | $1,006 | 30% |
| Meritain Heatlh | $1,006 | 30% |
| Geha | $1,006 | 30% |
| Meritain | $1,006 | 30% |
| Patient No Pay | $3,092 | 92% |
| Molina Dual McR | $3,092 | 92% |
| American Retirement | $3,092 | 92% |
| Aarp Supplemental | $3,092 | 92% |
| Molina Marketplace | $3,092 | 92% |
| American Continental Insurance | $3,092 | 92% |
| American Republic | $3,092 | 92% |
| Cigna | $3,092 - $4,836 | 92% |
| Aultcare Primetime Health Plan | $3,092 | 92% |
| Medigold | $3,092 | 92% |
| American Continental Life | $3,092 | 92% |
| UnitedHealthcare | $3,092 - $4,494 | 92% |
| Molina | $3,092 | 92% |
| Communicare Advantage | $3,092 | 92% |
| Humana | $3,092 | 92% |
| Prosperity Supplement | $3,092 | 92% |
| Champus | $3,092 | 92% |
| Medicare (plans) | $3,092 - $11,012 | 92% |
| Mmoh | $3,092 - $11,563 | 92% |
| Bankers Fidelity | $3,092 | 92% |
| Aarp | $3,092 | 92% |
| Blue Cross Blue Shield | $3,092 - $18,079 | 92% |
| Central States | $3,092 | 92% |
| Molina McR | $3,092 | 92% |
| Molina Dual McR | $3,092 | 92% |
| Gateway Health Plan | $3,092 | 92% |
| Self Pay Imaging | $3,092 | 92% |
| Molina McR+McD | $3,092 | 92% |
| Wraparound Pl Supp | $3,092 | 92% |
| Molina McR McD | $3,092 | 92% |
| Wellcare By Allwell | $3,092 | 92% |
| Bankers Life and Casualty | $3,092 | 92% |
| Everest | $3,092 | 92% |
| The Health Plan | $3,247 | 97% |
| Devoted Health | $3,350 | 100% |
| Employer Direct | $3,556 | 106% |
| Caresource | $4,639 | 139% |
| Medicaid / KanCare | $4,639 | 139% |
| Caresourse | $4,639 | 139% |
| Unified Group | $4,836 | 145% |
| Sbma | $4,836 | 145% |
| Samba | $4,836 | 145% |
| Healthgram | $4,836 | 145% |
| Nalc | $4,836 | 145% |
| Mmoh (Supermed) | $8,535 | 255% |
| Mmo Cin. HMO | $11,563 | 346% |
| Medben | $16,519 | 494% |
| Preferred Health | $16,519 | 494% |
| Luminare Health | $16,519 | 494% |
| Ohio Health | $16,519 | 494% |