CMS Price Transparency Data

Bunion correction surgery

Facility: Cleveland Clinic Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $836
Cash Discount Price: $1,931
vs. Medicare Baseline: 0.25x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Cleveland Clinic Hospital is $836. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,931. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.25x the Medicare baseline. Located in 3100 Weston Rd, Weston, FL.

Cash / Self-Pay

$1,931

Average discount available for prompt cash payment at this facility.

Insurance Median

$836

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: $1,931 (58%)

Insurance Median: $836 (25%)

Cash: $1,931 (58% of Medicare)

Ins. Median: $836 (25% 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	$448 - $3,257	13%
Avmed	$527 - $7,035	16%
Doctors Health Plan	$527 - $3,257	16%
United	$527 - $3,257	16%
Wellcare	$527 - $3,257	16%
Independent Living Systems	$554 - $3,420	17%
Clear Spring Health	$570	17%
UnitedHealthcare	$638	19%
Aetna	$654 - $3,257	20%
Medicaid / KanCare	$672	20%
Cigna	$704 - $903	21%
Maritime	$1,486	44%
Multiplan	$1,486	44%
Clarity Health	$1,931	58%
The Legacy Companies	$1,931	58%
Consociate Health	$2,228	67%
Humana	$3,257	97%
Devoted Health	$3,583	107%

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 $1,931.
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 Cleveland Clinic 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.