CMS Price Transparency Data

Bunion correction surgery

Facility: Copper Queen Community Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $1,100
Cash Discount Price: $2,014
vs. Medicare Baseline: 0.33x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Copper Queen Community Hospital is $1,100. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,014. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.33x the Medicare baseline. Located in 101 Cole Avenue, Bisbee, AZ.

Cash / Self-Pay

$2,014

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,100

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: $2,014 (60%)

Insurance Median: $1,100 (33%)

Cash: $2,014 (60% of Medicare)

Ins. Median: $1,100 (33% 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
Allwell	$403 - $2,052	12%
Amerigroup	$403	12%
Azch Complete	$403 - $2,052	12%
Banner Uc Health	$403 - $2,052	12%
Humana	$403	12%
Triwest	$403	12%
UnitedHealthcare	$453 - $3,914	14%
Copperpoint	$623	19%
Bisbee Police	$655	20%
Aetna	$705 - $2,266	21%
Health Net Of Az	$705 - $1,511	21%
Apipa	$940	28%
Cigna	$1,259	38%
Blue Cross Blue Shield	$1,712	51%
Self Pay	$2,014	60%
Ahcccs	$2,052	61%
Mercy Care	$2,052	61%

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 $2,014.
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 Copper Queen Community 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.