CMS Price Transparency Data

Bunion correction surgery

Facility: Kingman Regional Medical Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $1,231
Cash Discount Price: $968
vs. Medicare Baseline: 0.37x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Kingman Regional Medical Center is $1,231. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $968. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.37x the Medicare baseline. Located in 3269 Stockton Hill Road, Kingman, AZ.

Cash / Self-Pay

$968

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,231

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: $968 (29%)

Insurance Median: $1,231 (37%)

Cash: $968 (29% of Medicare)

Ins. Median: $1,231 (37% 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
Health Choice Generations	$475	14%
Hpn Sierra Nevada Mcr Adv	$475	14%
Medicare (plans)	$475	14%
Triwest - All Plans	$475	14%
Care 1St Mcr Adv-All Other Plans	$498	15%
Mercy Care Adv Snp-All Other Plans	$522	16%
Humana	$531 - $1,276	16%
Apipa - Ahcccs-All Other Plans	$538	16%
Health Choice Az	$538	16%
Care 1St Mcaid	$565	17%
UnitedHealthcare	$581 - $1,492	17%
Mercy Care Ahcccs Ddd	$592	18%
Geo Group Chc Az State Prison-All Plans	$712	21%
Aetna	$736	22%
Health Plan Of Nevada-All Other Plans	$736	22%
Health Choice Hie Exchange	$807	24%
Multiplan-All Plans	$807	24%
Blue Cross Blue Shield	$841	25%
Cigna	$1,128	34%
Health Choice- All Other Plans	$1,186	35%
Three Rivers-All Plans	$1,938 - $2,764	58%
America'S Choice Provider Network-All Plans	$2,001 - $2,854	60%
Az Foundation-All Plans	$2,106 - $3,004	63%
Mediversal-All Plans	$2,106 - $3,004	63%
One Health Plan-All Plans	$2,106 - $3,004	63%
Universal Health-All Plans	$2,106 - $3,004	63%

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 $968.
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 Kingman Regional 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.