Bunion correction surgery
Facility: Ascension Via Christi Hospital Manhattan, Inc
Billing Code: 28296 (CPT)
- CPT Billing Code: 28296
- Insurance Median: $395
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.12x 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 |
|---|---|---|
| UnitedHealthcare | $250 - $380 | 7% |
| Medicaid / KanCare | $260 - $399 | 8% |
| Aetna | $260 - $395 | 8% |
| Providrs Care | $1,125 | 34% |
| Tricare | $2,455 | 73% |
| Blue Cross Blue Shield | $3,601 - $3,790 | 108% |
Consumer Guidance & Cost Commentary
For patients paying out-of-pocket, the most critical information is that the cash rate for this Bunion correction surgery is not explicitly listed in the facility's public data, so you should immediately contact Ascension Via Christi Hospital Manhattan, Inc to confirm if a "self-pay" or "prompt-pay" discount is available. Even though cash payments can sometimes be cheaper than insurance negotiated rates for those with high deductibles, the absence of a disclosed cash price means you cannot assume you will save money by paying directly; you must verify the specific self-pay fee before scheduling to avoid unexpected costs.
The facility's negotiated rates, which range from $250 to $3,790 depending on the payer, are significantly higher than the median negotiated rate of $395 reported for this procedure in the broader Kansas market. While the facility's Medicare amount of $3,342.87 serves as a benchmark for the true cost of care, the wide variation in commercial payer rates—from $250 for some UnitedHealthcare plans up to $3,790 for Blue Cross Blue Shield—highlights that insurance coverage does not guarantee a standardized price. Because negotiated rates often include administrative overhead and contract terms that exceed the base cost of service, patients should compare these specific allowed amounts against the state average and consider whether their specific plan's negotiated rate is higher than what a self-pay patient might pay if a cash discount exists.