CMS Price Transparency Data

Bunion correction surgery

Facility: USA Health Children's & Women's Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $883
Cash Discount Price: $2,601
vs. Medicare Baseline: 0.26x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at USA Health Children's & Women's Hospital is $883. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,601. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.26x the Medicare baseline. Located in 1700 Center Street, Mobile, AL.

Cash / Self-Pay

$2,601

Average discount available for prompt cash payment at this facility.

Insurance Median

$883

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: $2,601 (78%)

Insurance Median: $883 (26%)

Cash: $2,601 (78% of Medicare)

Ins. Median: $883 (26% 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
UnitedHealthcare	$836 - $2,398	25%
Blue Cross Blue Shield	$866	26%
Aetna	$883	26%
Devoted Health	$883	26%
Humana	$883	26%
Viva Health	$883	26%
Wellcare	$883	26%
Molina Marketplace	$972	29%
Ambetter / Centene	$1,060	32%
Mississippi Physicians Care Network (Mpcn)	$1,193	36%
Central Healthcare Services	$1,300	39%
Magnolia Health	$2,398	72%
Truecare	$2,398	72%
Molina Chip	$2,638	79%

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 $2,601.
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 USA Health Children's & Women's 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.