CMS Price Transparency Data

Bunion correction surgery

Facility: The East Alabama Healthcare Authority

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $1,151
Cash Discount Price: $5,551
vs. Medicare Baseline: 0.34x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at The East Alabama Healthcare Authority is $1,151. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,551. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.34x the Medicare baseline. Located in 2000 Pepperell Parkway, Opelika, AL.

Cash / Self-Pay

$5,551

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,151

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: $5,551 (166%)

Insurance Median: $1,151 (34%)

Cash: $5,551 (166% of Medicare)

Ins. Median: $1,151 (34% 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.

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
Aetna	$123 - $10,092	4%
Blue Cross Blue Shield	$123 - $6,705	4%
Cigna	$123 - $5,786	4%
Humana	$123 - $7,064	4%
Simpra	$123 - $2,941	4%
Viva	$123 - $7,306	4%
Novanet	$1,514	45%
Beechstreet	$2,717 - $8,578	81%
Alabama Crime Victims	$5,046	151%
Mcm Maxcare	$8,074	242%
Mega Life	$8,074	242%
UnitedHealthcare	$8,074	242%
Coventry First Health	$8,578	257%
Geha	$8,578	257%
Multiplan	$8,578	257%
Workers Comp	$8,578	257%
Trpn	$9,083	272%

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 $5,551.
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 The East Alabama Healthcare Authority 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.