CMS Price Transparency Data

Bunion correction surgery

Facility: Rush University Medical Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $5,007
  • Cash Discount Price: $4,424
  • vs. Medicare Baseline: 1.50x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Rush University Medical Center is $5,007. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,424. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.50x the Medicare baseline. Located in 1653 West Congress Parkway, Chicago, IL.
Cash / Self-Pay
$4,424

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,007

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: $4,424 (132%)
Insurance Median: $5,007 (150%)
Cash: $4,424 (132% of Medicare)
Ins. Median: $5,007 (150% 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
Cigna $1,330 - $8,847 40%
Blue Cross Blue Shield $1,927 - $8,847 58%
Aetna $2,081 - $8,847 62%
UnitedHealthcare $3,366 - $11,943 101%
Molina Fide-Snp $3,647 109%
Meridian Dnsp $3,682 110%
Meridian Mcaid - All Other Plans $4,723 - $6,839 141%
Ambetter / Centene $4,734 142%
Molina Exch - All Other Plans $4,769 143%
Molina Mcaid $4,818 - $7,250 144%
Devoted Mcr Adv - All Plans $6,423 - $8,847 192%
Humana $6,423 - $8,847 192%
Wellcare Mcr Adv - All Plans $6,423 - $8,847 192%
Zing Health Mcr Adv - All Plans $6,808 204%
County Care Mcaid - All Plans $6,839 205%
Zing Hlth Mcr Adv - All Plans $9,378 281%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1653 West Congress Parkway, Chicago, IL 60612
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals