Bunion correction surgery
Facility: Physicians Care Surgical Hospital
Billing Code: 28296 (CPT)
- CPT Billing Code: 28296
- Insurance Median: $6,696
- Cash Discount Price: $6,321
- vs. Medicare Baseline: 2.00x 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 200% of the Medicare baseline (a markup of 100%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
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 |
|---|---|---|
| Keystone First Vip Choice | $900 - $2,850 | 27% |
| Straight Access | $900 - $2,850 | 27% |
| Keystone First | $900 - $2,850 | 27% |
| Medicaid / KanCare | $900 - $2,850 | 27% |
| PA Health and Wellness | $900 - $2,850 | 27% |
| Keystone First Healthplan | $900 - $2,850 | 27% |
| Humana | $1,318 - $12,772 | 39% |
| Tricare | $1,318 - $12,772 | 39% |
| Connecticare | $2,885 - $19,575 | 86% |
| UPMC | $2,971 - $19,295 | 89% |
| Devon Health Services | $3,030 - $12,772 | 91% |
| Vibra Health Plan | $3,030 - $12,772 | 91% |
| Aetna | $3,030 - $23,230 | 91% |
| Cigna | $3,030 - $18,977 | 91% |
| Ibc Security 65 | $3,030 - $12,363 | 91% |
| Medicare (plans) | $3,030 - $12,772 | 91% |
| Personal Choice 65 | $3,030 - $12,363 | 91% |
| Blue Cross Blue Shield | $3,030 - $23,941 | 91% |
| Unified Health Services | $3,030 - $12,772 | 91% |
| Aarp | $3,030 - $12,772 | 91% |
| UnitedHealthcare | $3,030 - $27,099 | 91% |
| Pcsh Aarp | $3,030 - $12,772 | 91% |
| Keystone 65 HMO | $3,030 - $12,772 | 91% |
| Shenandoah Life | $3,030 - $12,772 | 91% |
| Gpm Health and Life Insurance Mc Supplement | $3,030 - $12,772 | 91% |
| Sana Benefits | $3,183 - $18,977 | 95% |
| Apwu | $3,183 - $18,977 | 95% |
| Healthgram | $3,183 - $18,977 | 95% |
| Freedom Life Insurance Company | $3,183 - $18,977 | 95% |
| Cwi Benefits | $3,183 - $18,977 | 95% |
| Nalc Health | $3,183 - $18,977 | 95% |
| Loomis | $3,183 - $18,977 | 95% |
| Health Partners | $3,183 - $18,977 | 95% |
| Personal Choice | $3,273 - $18,753 | 98% |
| Ibc | $3,273 - $18,753 | 98% |
| Empire Plan | $3,273 - $18,753 | 98% |
| Ibc - Local | $3,273 - $18,753 | 98% |
| Ibc Local | $3,273 - $18,753 | 98% |
| Pcsh Ibc | $3,273 - $18,753 | 98% |
| Amerihealth Administrators | $3,273 - $18,753 | 98% |
| Keystone Healthplan East | $3,273 - $18,753 | 98% |
| Independence Administrators | $3,273 - $18,753 | 98% |
| Horizon of New Jersey | $3,273 - $18,753 | 98% |
| Ibc 2021 | $3,273 - $18,753 | 98% |
| Independence Federal | $3,273 - $18,753 | 98% |
| Keystone Direct POS | $3,273 - $18,753 | 98% |
| Independence Bc | $3,273 - $18,753 | 98% |
| Carefirst Administrators | $3,273 - $18,753 | 98% |
| Regence Blue Shield | $3,273 - $18,753 | 98% |
| Amerihealth New Jersey HMO | $3,273 - $18,753 | 98% |
| Keystone HMO | $3,273 - $18,753 | 98% |
| Highmark | $5,709 - $23,941 | 171% |
| Golden Rule Op | $6,429 - $27,099 | 192% |
| Oxford Health Plan | $6,429 - $27,099 | 192% |
| Surest | $6,429 - $27,099 | 192% |
| Oxford Life Insurance Company | $6,429 - $27,099 | 192% |
| Allsavers | $6,429 - $27,099 | 192% |
| Central PA Teamsters | $6,501 - $21,231 | 194% |
| Ag Administrators Inc | $6,696 - $23,230 | 200% |
| Coventry | $6,696 - $23,230 | 200% |
| Ag Administrators | $6,696 - $23,230 | 200% |
| Allied Benefit Systems | $6,696 - $23,230 | 200% |
| Lucent Health | $6,696 - $23,230 | 200% |
| Meritain Health | $6,696 - $23,230 | 200% |
| Premier Care Network | $6,696 - $23,230 | 200% |
| Trustmark | $6,696 - $23,230 | 200% |
| Geha | $6,696 - $23,230 | 200% |
| Continental Benefits | $6,696 - $23,230 | 200% |
| Marpai Health | $6,696 - $23,230 | 200% |
| Healthez | $6,696 - $23,230 | 200% |
| Allied Benefits Systems | $6,696 - $23,230 | 200% |