CMS Price Transparency Data

Bunion correction surgery

Facility: Greene County General Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $1,495
Cash Discount Price: $3,229
vs. Medicare Baseline: 0.45x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Greene County General Hospital is $1,495. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,229. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.45x the Medicare baseline. Located in 1185 N 1000 W, Linton, IN.

Cash / Self-Pay

$3,229

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,495

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: $3,229 (97%)

Insurance Median: $1,495 (45%)

Cash: $3,229 (97% of Medicare)

Ins. Median: $1,495 (45% 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
UnitedHealthcare	$489 - $4,784	15%
Humana	$778 - $4,779	23%
Blue Cross Blue Shield	$794 - $4,250	24%
Aetna	$810 - $6,175	24%
Caresource In	$826 - $2,542	25%
Government Employees Hospital Association (Geha)	$879 - $4,784	26%
Southeastern Indiana Health Siho	$3,836 - $5,850	115%
Cigna	$4,049 - $6,175	121%

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 $3,229.
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 Greene County General 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.