CMS Price Transparency Data

Bunion correction surgery

Facility: Copley Memorial Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $4,723
Cash Discount Price: $3,212
vs. Medicare Baseline: 1.41x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Copley Memorial Hospital is $4,723. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,212. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.41x the Medicare baseline. Located in 2000 Ogden Avenue, Aurora, IL.

Cash / Self-Pay

$3,212

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,723

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: $3,212 (96%)

Insurance Median: $4,723 (141%)

Cash: $3,212 (96% of Medicare)

Ins. Median: $4,723 (141% 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
Cigna	$1,330 - $6,423	40%
Blue Cross Blue Shield	$1,927 - $6,423	58%
Aetna	$2,081 - $6,423	62%
UnitedHealthcare	$3,366 - $8,350	101%
Meridian Mcaid - All Other Plans	$4,723	141%
Molina Exch - All Other Plans	$4,769	143%
Molina Mcaid	$4,818	144%
Devoted Mcr Adv - All Plans	$6,423	192%
Humana	$6,423	192%
Wellcare Mcr Adv - All Plans	$6,423	192%
Zing Health Mcr Adv - All Plans	$6,808	204%

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 $3,212.
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 Copley Memorial 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.