CMS Price Transparency Data

Bunion correction surgery

Facility: Central Peninsula General Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $7,973
Cash Discount Price: $8,714
vs. Medicare Baseline: 2.39x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Central Peninsula General Hospital is $7,973. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,714. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 2.39x the Medicare baseline. Located in 250 Hospital Place, Soldotna, AK.

Cash / Self-Pay

$8,714

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,973

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate

$3,342.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3,342.87 (100%)

Cash / Self-Pay: $8,714 (261%)

Insurance Median: $7,973 (239%)

Cash: $8,714 (261% of Medicare)

Ins. Median: $7,973 (239% of 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 239% of the Medicare baseline (a markup of 139%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Billing Status

Remaining Deductible ($)

Your Coinsurance Rate (%)

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group	Contract Rate Range	vs. Medicare Reference
Blue Cross Blue Shield	$2,097	63%
Kenai Peninsula Premera - All Other Plans	$2,097	63%
Kenai Peninsula School	$5,228	156%
Moda Cph - All Other Plans	$5,228	156%
Moda Non-Cph	$7,668	229%
Cigna	$7,834	234%
UnitedHealthcare	$7,843	235%
Rehn - All Plans	$8,104	242%
Aetna	$8,191	245%
Geha - All Plans	$8,453	253%
Multiplan Primary - All Other Plans	$8,453	253%
Vnpn - All Plans	$8,453	253%
First Choice Ppo - All Plans	$8,540	255%
Multiplan Comp	$8,540	255%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $8,714.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 28296.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Central Peninsula General Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 28296.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.