CMS Price Transparency Data
Bunion correction surgery
Facility: Arkansas Surgical Hospital
Billing Code: 28296 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 28296
- Insurance Median: $6,695
- Cash Discount Price: $12,203
- vs. Medicare Baseline: 2.00x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Arkansas Surgical Hospital is $6,695. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,203. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 2.00x the Medicare baseline. Located in 5201 North Shore Drive, No Little Rock, AR.
Cash / Self-Pay
$12,203
Average discount available for prompt cash payment at this facility.
Insurance Median
$6,695
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: $12,203 (365%)
Insurance Median: $6,695 (200%)
Cash: $12,203 (365% of Medicare)
Ins. Median: $6,695 (200% 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 200% of the Medicare baseline (a markup of 100%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicade Arkansas | $250 - $850 | 7% |
| Medicaid / KanCare | $250 - $850 | 7% |
| Aarp | $2,976 - $12,111 | 89% |
| Aarp Supplemental | $2,976 - $12,111 | 89% |
| Aetna | $2,976 - $19,758 | 89% |
| Allianz Resolution Manage | $2,976 - $12,111 | 89% |
| Allwell | $2,976 - $12,111 | 89% |
| Americo | $2,976 - $12,111 | 89% |
| Bankers Fidelity | $2,976 - $12,111 | 89% |
| Bankers Life And Casualty | $2,976 - $12,111 | 89% |
| Blue Cross Blue Shield | $2,976 - $17,312 | 89% |
| Cigna | $2,976 - $17,500 | 89% |
| Healthspring | $2,976 - $12,111 | 89% |
| Hmo Medipak Adv | $2,976 - $12,111 | 89% |
| Hmo Medipak Adv Plan | $2,976 - $12,111 | 89% |
| Humana | $2,976 - $12,111 | 89% |
| Medadvantage | $2,976 - $12,111 | 89% |
| Medicare (plans) | $2,976 - $12,111 | 89% |
| Medipak | $2,976 - $12,111 | 89% |
| Medipak Advantage | $2,976 - $12,111 | 89% |
| Railroad Retirement | $2,976 - $12,111 | 89% |
| Sterling Option 1 | $2,976 - $12,111 | 89% |
| Tricare | $2,976 - $12,111 | 89% |
| UnitedHealthcare | $2,976 - $17,312 | 89% |
| Vantage Health | $2,976 - $12,111 | 89% |
| Vantage Health Plan Inc | $2,976 - $12,111 | 89% |
| Vetern Choice Program | $2,976 - $12,111 | 89% |
| Wellcare | $2,976 - $12,111 | 89% |
| Wps Vapc3 | $2,976 - $12,111 | 89% |
| Blue Advantage | $3,027 - $17,312 | 91% |
| Care First | $3,027 - $17,312 | 91% |
| Health Advantage | $3,027 - $17,312 | 91% |
| Premera | $3,027 - $17,312 | 91% |
| True Blue | $3,027 - $14,113 | 91% |
| True Blue Metallic | $3,027 - $14,113 | 91% |
| Allegiance | $3,045 - $17,500 | 91% |
| Allied Benefit System | $3,045 - $17,500 | 91% |
| Apwu | $3,045 - $17,500 | 91% |
| Apwu Health Plan | $3,045 - $17,500 | 91% |
| Nalc | $3,045 - $17,500 | 91% |
| Nalc Health Benefit Plan | $3,045 - $17,500 | 91% |
| Nalc Medical Claims | $3,045 - $17,500 | 91% |
| Priority Health | $3,045 - $17,500 | 91% |
| Providence Health Plan | $3,045 - $17,500 | 91% |
| S&S Healthcare Strategies | $3,045 - $17,500 | 91% |
| Tufts Health Plan | $3,045 - $17,500 | 91% |
| All Savers | $3,177 - $17,312 | 95% |
| All Savers Insurance | $3,177 - $17,312 | 95% |
| Bind | $3,177 - $17,312 | 95% |
| Freedom Life Ushealth | $3,177 - $17,312 | 95% |
| Geha | $3,177 - $17,312 | 95% |
| Golden Rule | $3,177 - $17,312 | 95% |
| Golden Rule Ins | $3,177 - $17,312 | 95% |
| Golden Rule Insurance | $3,177 - $17,312 | 95% |
| Healthscope Benefits | $3,177 - $17,312 | 95% |
| Medica | $3,177 - $17,312 | 95% |
| Oxford | $3,177 - $17,312 | 95% |
| Oxford Life | $3,177 - $17,312 | 95% |
| Oxford Life Ins Company | $3,177 - $17,312 | 95% |
| Oxford Life Insurance | $3,177 - $17,312 | 95% |
| Oxford Life Insurance Co | $3,177 - $17,312 | 95% |
| Surest | $3,177 - $17,312 | 95% |
| United Healtcare Global | $3,177 - $17,312 | 95% |
| United Hlth Shared Servic | $3,177 - $17,312 | 95% |
| Ushealthgroup | $3,177 - $17,312 | 95% |
| Ambetter / Centene | $4,166 - $14,525 | 125% |
| Qualchoice | $4,464 - $18,166 | 134% |
| Qualchoice Adv Hmo | $4,464 - $18,166 | 134% |
| Qualchoice Exchange | $4,464 - $18,166 | 134% |
| Qualchoice Health Ins | $4,464 - $18,166 | 134% |
| Municipal Health | $6,327 - $10,122 | 189% |
| Municipal Health Benefit Fund | $6,327 - $10,122 | 189% |
| American Continental Life | $6,695 - $19,758 | 200% |