CMS Price Transparency Data

Bunion correction surgery

Facility: Washington County Regional Medical Center

Billing Code: 28296 (CPT)

The BaseRate · fair price high confidence

A fair price for this

$3,402

about 1.0× the $3,343 Medicare rate · typically $1,900–$5,505

modeled estimate · not a bill or quote

Medicare pays $3,343 Fair price $3,402 Cash price $1,585 Hospital's list price $3,170

How we calculate the fair BaseRate →

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

5 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Cigna✓ Humana Kaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$3,868	116%
Blue Cross Blue Shieldmajor	$1,388 - $3,267	42%
Aetnamajor	$1,388 - $3,049	42%
Cignamajor	$1,547 - $3,398	46%
Humanamajor	$1,388 - $3,267	42%
Ambetter (Centene)	$3,728	112%
Amerigroup	$761 - $1,673	23%
CareSource	$694 - $1,525	21%

Government programs also on file: Medicare, Medicaid.

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 1,585), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 28296.

Insurance Before you use insurance

Call your insurance company to confirm Washington County Regional Medical Center is in-network.
Ask your insurer whether prior approval is required for CPT code 28296.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at Washington County Regional Medical Center

Compare: Bunion correction surgery at other GA hospitals

Insurance negotiated median for the same procedure, sorted lowest first.