CMS Price Transparency Data

Bunion correction surgery

Facility: Deaconess Illinois Crossroads

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $1,047
Cash Discount Price: $933
vs. Medicare Baseline: 0.31x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Deaconess Illinois Crossroads is $1,047. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $933. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.31x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.

Cash / Self-Pay

$933

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,047

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: $933 (28%)

Insurance Median: $1,047 (31%)

Cash: $933 (28% of Medicare)

Ins. Median: $1,047 (31% 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
Aetna	$419 - $3,450	13%
Blue Cross Blue Shield	$419 - $3,382	13%
Meridian Health Plan	$419 - $3,382	13%
Molina Healthcare Of Illinois	$419 - $3,416	13%
Wellcare	$419 - $3,382	13%
Humana	$491 - $3,382	15%
Mytru Advantage	$491 - $3,382	15%
Umwa	$491 - $3,382	15%
UnitedHealthcare	$491 - $3,382	15%
Healthlink	$585 - $611	17%
Alliance Coal	$678 - $5,581	20%
Alter-Net Medical Services, Inc.	$786 - $9,639	24%
Noncontracted	$786 - $5,412	24%
Self-Pay	$933	28%
Deaconess Onecare	$1,007	30%
Cigna	$1,037	31%
Prime Health Services	$2,000	60%
Guardian Resources, Inc.	$2,240	67%
Healthcare'S Finest Network (Hfn)	$2,267	68%
Medicalcontrol Network Solutions	$2,267	68%
National Provider Network	$2,267	68%
Three Rivers Provider Network	$2,320	69%
Beech Street	$2,347	70%
Care Improvement Plus	$3,450	103%
Hope Trust	$9,639	288%

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 $933.
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 Deaconess Illinois Crossroads 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.