CMS Price Transparency Data

Bunion correction surgery

Facility: University of Iowa Hospital & Clinics

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $4,468
  • Cash Discount Price: $7,750
  • vs. Medicare Baseline: 1.34x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at University of Iowa Hospital & Clinics is $4,468. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,750. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.34x the Medicare baseline. Located in 200 Hawkins Drive, Iowa City, IA.
Cash / Self-Pay
$7,750

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,468

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: $7,750 (232%)
Insurance Median: $4,468 (134%)
Cash: $7,750 (232% of Medicare)
Ins. Median: $4,468 (134% 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.

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
Aetna $476 - $18,932 14%
Iowa Total Care $476 - $4,429 14%
Medical Associates $476 - $7,418 14%
Molina Healthcare $476 - $4,429 14%
UnitedHealthcare $476 - $10,240 14%
Blue Cross Blue Shield $485 - $5,315 15%
Healthpartners $485 - $9,411 15%
American Health Plan $499 - $3,206 15%
Wellpoint (Amerigroup) $499 - $3,206 15%
Immergrun $950 - $2,768 28%
Quad City Community Healthcare $1,373 - $8,304 41%
Midlands Choice $2,020 - $7,197 60%
Aplos Health Plan $2,045 - $8,858 61%
Oscar Health $2,393 - $6,975 72%
Great River Health Systems $2,659 - $7,750 80%
Sedgwick $3,038 - $8,858 91%
Global Excel $3,228 - $9,411 97%
Sanford Health Plan $3,228 - $9,411 97%
Employee Benefit Systems $3,342 - $9,965 100%
Sisco $3,342 - $9,743 100%
Healthsmart $3,418 - $9,965 102%
Hfn $3,494 - $10,186 105%
Multiplan $3,494 - $10,186 105%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 Hawkins Drive, Iowa City, IA 52242
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - State
  • Hospital Type: Acute Care Hospitals