CMS Price Transparency Data

Bunion correction surgery

Facility: White River Medical Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $3,177
Cash Discount Price: $1,531
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at White River Medical Center is $3,177. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,531. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.95x the Medicare baseline. Located in 1710 Harrison Street, Batesville, AR.

Cash / Self-Pay

$1,531

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,177

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: $1,531 (46%)

Insurance Median: $3,177 (95%)

Cash: $1,531 (46% of Medicare)

Ins. Median: $3,177 (95% 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
Blue Cross Blue Shield	$100 - $3,177	3%
Municipal Health Benefit Fund	$1,143	34%
Aetna	$1,246 - $3,177	37%
Arkansas Total Care	$1,246	37%
Summit Community Care	$1,246	37%
Multiplan	$1,429	43%
Arkansas Superior Select Wrmc	$3,177	95%
Hmo Partners Inc Wrmc	$3,177	95%
Medipak Advantage Wrmc	$3,177	95%
UnitedHealthcare	$3,177	95%
Medicare (plans)	$3,241	97%
Cigna	$3,273	98%
Allwell Wrmc	$3,336	100%
Wellcare Wrmc	$3,336	100%
Ambetter / Centene	$4,448	133%
Qualchoice (Alliance) Wrmc	$4,867	146%
Provider Network Of America Wrmc	$5,084	152%
Vantage Health Plan Wrmc	$8,896	266%

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 $1,531.
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 White River Medical Center 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.