CMS Price Transparency Data

Bunion correction surgery

Facility: Gibson General Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $777
Cash Discount Price: $933
vs. Medicare Baseline: 0.23x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Gibson General Hospital is $777. 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 0.23x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.

Cash / Self-Pay

$933

Average discount available for prompt cash payment at this facility.

Insurance Median

$777

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: $777 (23%)

Cash: $933 (28% of Medicare)

Ins. Median: $777 (23% 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
Blue Cross Blue Shield	$419 - $811	13%
Medicaid / KanCare	$419	13%
Meridiancare (Il)	$419	13%
Meridianhealth (Il)	$419	13%
Aetna	$478 - $1,796	14%
Caresource Just For Me	$478	14%
Medicare (plans)	$478	14%
Meridiancomplete (Il)	$478	14%
Mytruadvantage	$478	14%
UnitedHealthcare	$478 - $925	14%
Va Ccn	$478	14%
Ambetter / Centene	$598	18%
Caresource In Marketplace	$622	19%
Alliance Coal	$669	20%
Claimdoc	$669	20%
Hopetrust	$717	21%
Hstechnology	$717	21%
Noncontracted	$765	23%
Deaconess Onecare	$789 - $6,993	24%
Chambercare	$803	24%
Caresource	$811	24%
Mdwise Plans	$811	24%
Mhs	$811	24%
Ky Racing Health & Welfare Fund	$933	28%
Self-Pay	$933	28%
Encircle/Encore Combined	$1,277	38%
Encircle/Encore Prime	$1,277	38%
Cigna	$1,796	54%
First Health	$1,796	54%
Healthlink Hmo	$1,796	54%
Healthlink Ppo	$1,796	54%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+)	$1,796	54%
Gibson County Sheriff	$2,267	68%
Integrated Health	$2,400	72%
Principal Health Care	$2,400	72%

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 Gibson 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.