CMS Price Transparency Data

Bunion correction surgery

Facility: Medical West, An Affiliate of UAB Health System

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $1,144
Cash Discount Price: $999
vs. Medicare Baseline: 0.34x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Medical West, An Affiliate of UAB Health System is $1,144. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $999. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.34x the Medicare baseline. Located in 995 9Th Avenue Southwest, Bessemer, AL.

Cash / Self-Pay

$999

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,144

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: $999 (30%)

Insurance Median: $1,144 (34%)

Cash: $999 (30% of Medicare)

Ins. Median: $1,144 (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
Cigna	$326 - $3,113	10%
Viva	$666 - $3,442	20%
Phcs	$799 - $932	24%
Beech Street	$826 - $932	25%
One Health Plan	$866	26%
Aetna	$932 - $2,993	28%
Geha	$932	28%
Healthchoice	$932	28%
Alamed	$1,043	31%
Construction Claims Management	$1,078	32%
Multiplan	$1,092	33%
Corvel	$1,101 - $1,199	33%
Novanet	$1,112	33%
Humana	$1,132 - $3,172	34%
UnitedHealthcare	$1,144 - $3,292	34%
Department Of Labor	$1,159	35%
Heritage Summit Health	$1,159	35%
Pnoa	$1,199	36%
Three Rivers	$1,199	36%
Blue Cross Blue Shield	$2,963	89%
Cooper Green	$2,993	90%
Jefferson County Sheriff	$2,993	90%
Triwest	$2,993	90%
United Mine Workers	$2,993	90%
Ambetter / Centene	$4,115	123%

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 $999.
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 Medical West, An Affiliate of UAB Health System 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.