Bunion correction surgery
Facility: Labette Health
Billing Code: 28296 (CPT)
- CPT Billing Code: 28296
- Insurance Median: $3,001
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.90x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Uhccp | $260 | 8% |
| Blue Cross Blue Shield | $3,001 - $3,325 | 90% |
| Medicaid / KanCare | $3,001 | 90% |
| Wellcare | $3,001 | 90% |
| UnitedHealthcare | $3,001 | 90% |
| Humana | $3,001 | 90% |
| Kansas Superior Select | $3,091 | 92% |
| Ambetter / Centene | $3,451 | 103% |
| Montgomery County | $5,491 | 164% |
Consumer Guidance & Cost Commentary
For this bunion correction surgery performed at Labette Health in Parsons, KS, the most significant benchmark is the Medicare rate of $3,342.87, which serves as the federal government's objective baseline for the true cost of care. While the facility's median negotiated rate for commercial payers is $3,001, this figure is actually lower than the Medicare amount, meaning the contractually agreed price does not exceed the federal benchmark. It is important to note that the data does not provide a cash payment rate or a specific state/county average for this procedure, so direct comparisons to local market pricing are not possible with the available information.
Patients should be aware that commercial insurance plans have different negotiated rates that vary significantly by carrier, ranging from a low of $260 for Uhccp to a high of $5,491 for Montgomery County. Because these negotiated amounts can differ widely, patients with high-deductible plans might find that paying the cash price directly is more cost-effective than relying on insurance, provided a cash rate is available. Additionally, since the data does not list a specific cash price, it is strongly recommended to contact the hospital directly to inquire about "self-pay" or "prompt-pay" discounts, which can reduce the total amount owed by bypassing the administrative costs associated with insurance billing.