CMS Price Transparency Data

Bunion correction surgery

Facility: The Women's Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $811
  • Cash Discount Price: $933
  • vs. Medicare Baseline: 0.24x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at The Women's Hospital is $811. 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 0.24x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$933

Average discount available for prompt cash payment at this facility.

Insurance Median
$811

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: $811 (24%)
Cash: $933 (28% of Medicare)
Ins. Median: $811 (24% 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 $419 - $1,796 13%
Blue Cross Blue Shield $419 - $10,568 13%
Meridian Health Il $419 - $2,885 13%
Molina Il $419 - $2,885 13%
Caresource $478 - $2,885 14%
Humana $478 - $2,885 14%
Iu Health $478 - $2,885 14%
Mhs $478 - $2,885 14%
Molina Ky $478 - $2,885 14%
Molina Ky Dual $478 - $2,885 14%
UnitedHealthcare $478 - $8,847 14%
Wellcare Ky $478 - $2,885 14%
Passport Molina Ky $515 15%
Ambetter / Centene $550 - $4,472 16%
Immergrun $575 - $3,462 17%
Caresource Marketplace (Just4Me) $622 - $4,328 19%
Hst $646 - $4,328 19%
Alliance Coal $660 20%
Allied National/Zelis - Freedom Plan $669 - $7,069 20%
Claimdoc $693 - $4,184 21%
Patoka Valley Health Care (80/20 Plan) $717 21%
Patoka Valley Health Care (90/10 Plan) $717 21%
Hope Trust $765 - $4,761 23%
Noncontracted $765 - $4,616 23%
One Care $789 24%
Chamber Care $790 24%
Caresource Hip $811 24%
Caresource In $811 24%
Mdwise Hip $811 24%
Mhs Behavioral $811 24%
Amish $933 - $1,154 28%
Self Pay $933 28%
Encorecombined $1,277 38%
Encoreprime $1,277 38%
Center Care $1,600 48%
Cigna $1,796 54%
Claritev (Formerly Phcs/Mulitplan) $1,796 54%
First Health/Coventry $1,796 54%
Healthlink $1,796 54%
Sagamore $1,796 54%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals