CMS Price Transparency Data
Bunion correction surgery
Facility: Saint Alphonsus Regional Medical Center
Billing Code: 28296 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 28296
- Insurance Median: $238
- Cash Discount Price: $2,201
- vs. Medicare Baseline: 0.07x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Saint Alphonsus Regional Medical Center is $238. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,201. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.07x the Medicare baseline. Located in 1055 North Curtis Road, Boise, ID.
Cash / Self-Pay
$2,201
Average discount available for prompt cash payment at this facility.
Insurance Median
$238
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: $2,201 (66%)
Insurance Median: $238 (7%)
Cash: $2,201 (66% of Medicare)
Ins. Median: $238 (7% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $154 - $1,147 | 5% |
| Oregon Screenwise | $207 | 6% |
| Aetna | $223 - $7,909 | 7% |
| Align Senior Care | $223 | 7% |
| Ally Align Care Adv | $223 | 7% |
| American Health Plan | $223 | 7% |
| Aurora Special Needs | $223 | 7% |
| Blue Care Network Advantage | $223 | 7% |
| Blue Cross Blue Shield | $223 - $7,678 | 7% |
| Blue Shield - De (Highmark) Medciare Advantage | $223 | 7% |
| Care Dimensions | $223 | 7% |
| Care Improvement Plus | $223 | 7% |
| Care Resources Pace | $223 | 7% |
| Careplus Health Plans | $223 | 7% |
| Cca - Zing Health | $223 | 7% |
| Cca Senior Care Options | $223 | 7% |
| Central Valley Medical Services Corp Pace | $223 | 7% |
| Champion Health Plan Mcr Advantage | $223 | 7% |
| Cigna | $223 - $18,400 | 7% |
| Clear Spring Health | $223 | 7% |
| Clover Health | $223 | 7% |
| Commonwealth Care Alliance | $223 | 7% |
| Community Pace At Home | $223 | 7% |
| Eddy Senior Care-Pace | $223 | 7% |
| Eddy Seniorcare Pace | $223 | 7% |
| Elementcare | $223 | 7% |
| Evercare | $223 | 7% |
| Everence | $223 | 7% |
| Gateway Health Plan | $223 | 7% |
| Genesys Pace Of Genesee County | $223 | 7% |
| Georgia Health Advantage | $223 | 7% |
| Gold Advantage | $223 | 7% |
| Gpa Croell Redi Mix | $223 | 7% |
| Health America Advantra | $223 | 7% |
| Highmark Health Options Dual Plan | $223 | 7% |
| Hope Select Pace | $223 | 7% |
| Horizon Nj Total Care | $223 | 7% |
| Hudson Headwaters Pace | $223 | 7% |
| Humana | $223 - $702 | 7% |
| Huron Valley Pace | $223 | 7% |
| Innovative Integrated Health Community Plans | $223 | 7% |
| Iowa Health Advantage | $223 | 7% |
| Johns Hopkins Advantage Md | $223 | 7% |
| Lasso Healthcare Msa | $223 | 7% |
| Life St Marys Pace | $223 | 7% |
| Lifecircles Pace | $223 | 7% |
| Longevity Health Plan | $223 | 7% |
| Longevity Ipa Of Michigan Llc Health Plan Isnp | $223 | 7% |
| Martins Point Generations Advantage | $223 | 7% |
| Mass General Brigham Mcr Adv | $223 | 7% |
| Medicare (plans) | $223 - $8,070 | 7% |
| Medipak Advantage | $223 | 7% |
| Mercy Life | $223 | 7% |
| Mercyone Cedar Valley | $223 | 7% |
| Meridian Complete | $223 | 7% |
| Michigan Complete Health | $223 | 7% |
| Nascentia Health Plus | $223 | 7% |
| New Centry Health Careplus | $223 | 7% |
| Osu Prime Care Advantage | $223 | 7% |
| Pace Cny | $223 | 7% |
| Pace Iowa Immanuel Pathways | $223 | 7% |
| Pace Of Southwest Michigan | $223 - $238 | 7% |
| Pace Southeast | $223 | 7% |
| Pace-Trinity Health | $223 | 7% |
| Peak Pace Solutions | $223 | 7% |
| Perennial Advantage | $223 | 7% |
| Preferred Care Partners | $223 | 7% |
| Presbyterian Senior Plan | $223 | 7% |
| Provider Partners Health Plan Of Illinois | $223 | 7% |
| Provider Partners Health Plan Of Indiana | $223 | 7% |
| Pruitthealth Premier | $223 | 7% |
| Reliance Community Care Partners Care Resources Pace | $223 | 7% |
| Rx Allwin | $223 | 7% |
| Rx Grane Grnmedd | $223 | 7% |
| Rx Retiree Rx Care | $223 | 7% |
| Scan Health Plan Mcr Ipa Meritage Oon | $223 | 7% |
| Secure Horizons Ma Pffs | $223 | 7% |
| Serenity Pace | $223 | 7% |
| Siouxland Pace | $223 | 7% |
| Solis Health Plans | $223 | 7% |
| Sunnyview-Pace Finance Dept | $223 | 7% |
| Texan Plus | $223 | 7% |
| The Health Plan | $223 | 7% |
| Thome Pace | $223 | 7% |
| Todays Options | $223 | 7% |
| Tribute Health Plans | $223 | 7% |
| Um Health Advantage | $223 | 7% |
| Union Health Service | $223 | 7% |
| UnitedHealthcare | $223 - $7,678 | 7% |
| Welbe Health | $223 | 7% |
| Wellmed | $223 | 7% |
| Veterans Administration | $227 | 7% |
| American Health Advantage Of Idaho | $232 - $7,985 | 7% |
| Champva | $237 | 7% |
| Tricare | $237 | 7% |
| Triwest Health Alliance | $237 | 7% |
| Us Family Health Plan | $237 | 7% |
| Veterans Eval Services | $237 | 7% |
| Albany County Correctional Facility | $238 | 7% |
| Ambetter / Centene | $238 | 7% |
| Amish Mennonite | $238 | 7% |
| Ascension St. Vincent Public Safety Medical | $238 | 7% |
| Bcccp-Michigan | $238 | 7% |
| Bccp | $238 | 7% |
| Bmc Healthnet | $238 | 7% |
| Breast Grant-Connecticut | $238 | 7% |
| Broward County Dept Of Health | $238 | 7% |
| California Health And Wellness | $238 | 7% |
| Can Community Health Inc | $238 | 7% |
| Cardinal Innovations Lme | $238 | 7% |
| Care Connections Of Northern Iowa | $238 | 7% |
| Care Oregon Ohp | $238 | 7% |
| Cencal Health Plan | $238 | 7% |
| Cenpatico | $238 | 7% |
| Centurion Of Idaho | $238 | 7% |
| Chhuny | $238 | 7% |
| Childrens Comm Health Plan | $238 | 7% |
| Childrens Medical Services Title 19 | $238 | 7% |
| City Of Philadelphia | $238 | 7% |
| Cmh Allegan County | $238 | 7% |
| Cmh Ausable Valley | $238 | 7% |
| Cmh Barry County | $238 | 7% |
| Cmh Bay-Arenac County | $238 | 7% |
| Cmh Berrien County | $238 | 7% |
| Cmh Cass County | $238 | 7% |
| Cmh Central Mi County | $238 | 7% |
| Cmh Clinton-Eaton-Ingham County | $238 | 7% |
| Cmh Detroit Wayne Integrated Health Network | $238 | 7% |
| Cmh Genesee County | $238 | 7% |
| Cmh Ionia County | $238 | 7% |
| Cmh Jackson County/Lifeways | $238 | 7% |
| Cmh Kalamazoo | $238 | 7% |
| Cmh Kent County | $238 | 7% |
| Cmh Lenawee County | $238 | 7% |
| Cmh Livingston County | $238 | 7% |
| Cmh Macomb | $238 | 7% |
| Cmh Misc | $238 | 7% |
| Cmh Monroe County | $238 | 7% |
| Cmh Montcalm County | $238 | 7% |
| Cmh Muskegon County | $238 | 7% |
| Cmh Newaygo County | $238 | 7% |
| Cmh North Country | $238 | 7% |
| Cmh Northern Lakes County | $238 | 7% |
| Cmh Oakland County | $238 | 7% |
| Cmh Ottawa County | $238 | 7% |
| Cmh Van Buren County | $238 | 7% |
| Cmh Washtenaw County | $238 | 7% |
| Cmh Wayne County/Carelink | $238 | 7% |
| Cmh Wayne Cty/Com Liv Svcs | $238 | 7% |
| Cmh West Mi County | $238 | 7% |
| Community Benefit Health | $238 | 7% |
| Community Care Behavorial Health | $238 | 7% |
| Community Care Partners | $238 | 7% |
| Community Health Choice | $238 | 7% |
| Connections Csp | $238 | 7% |
| County Coroner | $238 | 7% |
| County Funding Generic | $238 | 7% |
| Covid19 Hrsa Uninsured Testing And Treatment Fund | $238 | 7% |
| Dean Wi Badgercare | $238 | 7% |
| Delaware County Department Of Health | $238 | 7% |
| Delaware First Health | $238 | 7% |
| Delta Dental Nj | $238 | 7% |
| Dph Tb Program | $238 | 7% |
| Dscc | $238 | 7% |
| Eastpointe Lme | $238 | 7% |
| Family Health Network | $238 | 7% |
| Freedom First Healthcare | $238 | 7% |
| Fresno County Ccs | $238 | 7% |
| Ghc Scw Wi Badgercare | $238 | 7% |
| Harbor Health | $238 | 7% |
| Health Safety Net | $238 | 7% |
| Healthy Blue Ne | $238 | 7% |
| Hennepin Health | $238 | 7% |
| Id County Ada | $238 | 7% |
| Id County Canyon | $238 | 7% |
| Id County Cat Fund | $238 | 7% |
| Id County Other | $238 | 7% |
| Id County Payette | $238 | 7% |
| Idaho Dept Health And Wellfare | $238 | 7% |
| Idaho Womens Health Check | $238 | 7% |
| Indiana Breast Cervical Cancer | $238 | 7% |
| Inland Empire Health Plan | $238 | 7% |
| Intercommunity Health Ohp | $238 | 7% |
| Iowa Total Care | $238 | 7% |
| Jai Medical System | $238 | 7% |
| Kern Family Health Plan | $238 | 7% |
| Keystone First | $238 | 7% |
| Keystone First Chip | $238 | 7% |
| La Care Health Plan | $238 | 7% |
| Lakeland Care Inc | $238 | 7% |
| Managed Health Services - Indiana | $238 | 7% |
| Maryland Breast & Cervical Program | $238 | 7% |
| Maryland Healthy Smiles - Scion Dental | $238 | 7% |
| Maryland Physicians Care | $238 | 7% |
| Massachusetts Behavioral Health Partnership | $238 | 7% |
| Mdwise | $238 | 7% |
| Medi-Cal | $238 | 7% |
| Medi-Cal Healthnet | $238 | 7% |
| Medstar Dc Healthy Family | $238 | 7% |
| Medstar Md Health Choice | $238 | 7% |
| Mo Home State Health Plan | $238 | 7% |
| Molina Centennial Care | $238 | 7% |
| Nascentia Health Options | $238 | 7% |
| Nebraska Total Care | $238 | 7% |
| New York Cancer Services Program | $238 | 7% |
| Nextlevel Health | $238 | 7% |
| Paramount Advantage | $238 | 7% |
| Parkland Community Health Plan | $238 | 7% |
| Partners Behavioral Lme | $238 | 7% |
| Peach State Healthplan | $238 | 7% |
| Philadelphia County Funding | $238 | 7% |
| Presbyterian Centennial Care | $238 | 7% |
| Prestige Health Choice | $238 | 7% |
| Priority Partners | $238 | 7% |
| Robert F Sing Program | $238 | 7% |
| Rx 340B Pass Along | $238 | 7% |
| Rx Assistance/Rx Manufacturer Assistance 0 Copay | $238 | 7% |
| Rx Medi-Cal | $238 | 7% |
| Rx Meridian Rx | $238 | 7% |
| Ryan White Florida Mssrp | $238 | 7% |
| Sandhills Center Lme | $238 | 7% |
| Screening For Life | $238 | 7% |
| St Joseph County Hlth Dpt | $238 | 7% |
| Stephenson Cty Health | $238 | 7% |
| Sunshine State Health Plan | $238 | 7% |
| Superior Health | $238 | 7% |
| Tenncare | $238 | 7% |
| Texas Children'S Health Plan | $238 | 7% |
| Trillium Community Ohp | $238 | 7% |
| Tufts Health Public Plans | $238 | 7% |
| Vaya Health Lme | $238 | 7% |
| Washtenaw Health Plan | $238 | 7% |
| Wellsense Health Plan | $238 | 7% |
| Wi Womens Wellness | $238 | 7% |
| Webtpa | $409 - $20,685 | 12% |
| Providence | $432 - $18,400 | 13% |
| Molina Marketplace | $443 - $18,491 | 13% |
| Bcn Domestic | $527 | 16% |
| Blue Benefit Administrators Of Massachusetts | $527 | 16% |
| Blue Care Network | $527 | 16% |
| Blue Distinction Transplant | $527 | 16% |
| Blue Shield - Ca | $527 | 16% |
| Blue Shield - Ny Highmark Northeastern | $527 | 16% |
| Blue Shield - Ny Highmark Western | $527 | 16% |
| Blue Shield - Pa (Highmark) | $527 | 16% |
| Blue Shield - Wa (Regence) | $527 - $2,892 | 16% |
| Health Choices | $527 | 16% |
| Kaiser Domestic | $527 | 16% |
| Pre-Employment | $527 | 16% |
| Wc Domestic | $527 | 16% |
| Pacificsource Health Plans | $537 - $12,536 | 16% |
| Asuris Northwest Health | $544 - $2,892 | 16% |
| Blue Shield - Id (Regence) | $544 - $3,084 | 16% |
| Health Plans Inc | $544 | 16% |
| Healthcare Management Admin | $544 - $2,892 | 16% |
| Ms Administrative Services | $544 | 16% |
| Geha | $548 | 16% |
| Moda Health | $625 - $15,217 | 19% |
| Mountain Health Co-Op | $625 | 19% |
| Selecthealth | $625 - $4,328 | 19% |
| First Choice Health | $627 | 19% |
| Healthnet | $638 - $935 | 19% |
| Allegiance | $697 | 21% |
| Allied National Global Care | $704 | 21% |
| Asrm - Reliance Standard Life Insurance | $704 | 21% |
| Christian Care Ministry | $704 | 21% |
| Dean Health | $704 | 21% |
| Fallon Health | $704 | 21% |
| Family Life Insurance Company | $704 | 21% |
| Ghc Scw | $704 | 21% |
| International Benefit Administrators | $704 | 21% |
| Lifetime Benefit Solutions | $704 | 21% |
| Manhattan Life | $704 | 21% |
| Medi Share | $704 | 21% |
| Multiplan | $704 | 21% |
| Pai | $704 | 21% |
| Pan-American Life | $704 | 21% |
| Paramount Hmo | $704 | 21% |
| Phcs | $704 | 21% |
| Trinity Health Share | $704 | 21% |
| Andrie Inc | $873 | 26% |
| East Greenbush Central School District | $873 | 26% |
| Genex Wc | $873 | 26% |
| Healthsmart Workers Comp | $873 | 26% |
| Jag Source | $873 | 26% |
| New York State Insurance Fund | $873 | 26% |
| Njm Insurance Group | $873 | 26% |
| Rx Heatlhcomp | $873 | 26% |
| Rx Restat | $873 | 26% |
| Rx Saif Opdp Wc | $873 | 26% |
| Rx Worker'S Comp | $873 | 26% |
| Wc Accident Fund | $873 | 26% |
| Wc Ace | $873 | 26% |
| Wc Acs Federal Employees | $873 | 26% |
| Wc Acuity | $873 | 26% |
| Wc Advantage | $873 | 26% |
| Wc Aegis | $873 | 26% |
| Wc Aig | $873 | 26% |
| Wc Aims | $873 | 26% |
| Wc Alaska National Ins | $873 | 26% |
| Wc Align Network | $873 | 26% |
| Wc Allied | $873 | 26% |
| Wc Am Trust N America | $873 | 26% |
| Wc American Claims Mgmt | $873 | 26% |
| Wc Amerisure | $873 | 26% |
| Wc Amtrust | $873 | 26% |
| Wc Asu Risk Mgt | $873 | 26% |
| Wc Benetech | $873 | 26% |
| Wc Berkley Admin | $873 | 26% |
| Wc Broadspire | $873 | 26% |
| Wc Broward County | $873 | 26% |
| Wc Bunch & Associates | $873 | 26% |
| Wc California State Comp Ins | $873 | 26% |
| Wc California State Ins Fund | $873 | 26% |
| Wc Capitol Area Health Consortium | $873 | 26% |
| Wc Ccmsi | $873 | 26% |
| Wc Chartis | $873 | 26% |
| Wc Chubb | $873 | 26% |
| Wc Cirma | $873 | 26% |
| Wc City Of Albany | $873 | 26% |
| Wc City Of Sioux City | $873 | 26% |
| Wc Claims Mgmt Inc | $873 | 26% |
| Wc Cna | $873 | 26% |
| Wc Comp One Admin C/O Manageability | $873 | 26% |
| Wc Compone Admin | $873 | 26% |
| Wc Corvel | $873 | 26% |
| Wc Ct Healthcare Trust | $873 | 26% |
| Wc Donegal Insurance Group | $873 | 26% |
| Wc Emc Insurance Company | $873 | 26% |
| Wc Employee Mutual | $873 | 26% |
| Wc Enablecomp | $873 | 26% |
| Wc Encore Health Network | $873 | 26% |
| Wc Erie | $873 | 26% |
| Wc Esis | $873 | 26% |
| Wc Evolutions | $873 | 26% |
| Wc Fcci | $873 | 26% |
| Wc Fed Ex | $873 | 26% |
| Wc Federal Black Lung | $873 | 26% |
| Wc Federated | $873 | 26% |
| Wc Finley Occupational Health | $873 | 26% |
| Wc First Agency/Occunet | $873 | 26% |
| Wc Ford Motor | $873 | 26% |
| Wc Fresno Unified Emp | $873 | 26% |
| Wc Gallagher Bassett | $873 | 26% |
| Wc General Motors | $873 | 26% |
| Wc Generic | $873 | 26% |
| Wc Genex Care For Ohio | $873 | 26% |
| Wc Great West Casualty | $873 | 26% |
| Wc Guarantee Insurance | $873 | 26% |
| Wc Guard Insurance Company | $873 | 26% |
| Wc Hab | $873 | 26% |
| Wc Hartford | $873 | 26% |
| Wc Hastings | $873 | 26% |
| Wc Health Management | $873 | 26% |
| Wc Heritage Summit | $873 | 26% |
| Wc Hireright | $873 | 26% |
| Wc Horizon | $873 | 26% |
| Wc Icw Group | $873 | 26% |
| Wc Idaho State Ins Fund | $873 | 26% |
| Wc Intercare Insurance | $873 | 26% |
| Wc Intermountain | $873 | 26% |
| Wc Johns Eastern | $873 | 26% |
| Wc Kemberton | $873 | 26% |
| Wc Key Ins & Benefit Solutions | $873 | 26% |
| Wc Liberty Mutual | $873 | 26% |
| Wc Mac Risk Management | $873 | 26% |
| Wc Massachusetts | $873 | 26% |
| Wc Mdia | $873 | 26% |
| Wc Meadowbrook Claim | $873 | 26% |
| Wc Medical Administrators | $873 | 26% |
| Wc Meijers | $873 | 26% |
| Wc Memic | $873 | 26% |
| Wc Mercy Workcare | $873 | 26% |
| Wc Michigan | $873 | 26% |
| Wc Michigan Millers Mutual | $873 | 26% |
| Wc Mitchell Frankenmuth | $873 | 26% |
| Wc Mra | $873 | 26% |
| Wc Nationwide | $873 | 26% |
| Wc Nca Comp | $873 | 26% |
| Wc New York | $873 | 26% |
| Wc New York Special Funds | $873 | 26% |
| Wc North American Rishces | $873 | 26% |
| Wc Northeast Health | $873 | 26% |
| Wc Notre Dame | $873 | 26% |
| Wc Novanet | $873 | 26% |
| Wc O'Hara Corp | $873 | 26% |
| Wc Occ Health Allen | $873 | 26% |
| Wc Ohio Bureau | $873 | 26% |
| Wc One Call Medical | $873 | 26% |
| Wc Paradigm | $873 | 26% |
| Wc Peerless | $873 | 26% |
| Wc Pma | $873 | 26% |
| Wc Praxis Health Network | $873 | 26% |
| Wc Price Chopper | $873 | 26% |
| Wc Procura Management | $873 | 26% |
| Wc Qualcare | $873 | 26% |
| Wc Quiktrip | $873 | 26% |
| Wc Reny Company | $873 | 26% |
| Wc Rev Claims | $873 | 26% |
| Wc Risico | $873 | 26% |
| Wc Rural Mutual | $873 | 26% |
| Wc Saif Oregon | $873 | 26% |
| Wc Secura | $873 | 26% |
| Wc Sedgwick | $873 | 26% |
| Wc Sentry | $873 | 26% |
| Wc Sheakley Unicomp | $873 | 26% |
| Wc Smile Lodge | $873 | 26% |
| Wc Society | $873 | 26% |
| Wc Srs | $873 | 26% |
| Wc Taconic (Mro) | $873 | 26% |
| Wc Taconic Farms | $873 | 26% |
| Wc Travelers | $873 | 26% |
| Wc Triad Group | $873 | 26% |
| Wc Tristar | $873 | 26% |
| Wc Troy Ny | $873 | 26% |
| Wc Tyson | $873 | 26% |
| Wc Unified Health Services | $873 | 26% |
| Wc United Heartland | $873 | 26% |
| Wc Us Dept Of Labor | $873 | 26% |
| Wc Velocity | $873 | 26% |
| Wc Walmart | $873 | 26% |
| Wc West Bend | $873 | 26% |
| Wc West Bend Mutual/Argent | $873 | 26% |
| Wc Winnebago Industries | $873 | 26% |
| Wc Yankee Trails | $873 | 26% |
| Wc York Risk | $873 | 26% |
| Wc Zenith | $873 | 26% |
| Wc Zurich | $873 | 26% |
| Priority Health | $18,400 | 550% |