Bunion correction surgery
Facility: Overland Park Reg Med Ctr
Billing Code: 28296 (CPT)
- CPT Billing Code: 28296
- Insurance Median: $4,222
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.26x 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 |
|---|---|---|
| Amerigroup | $1,049 | 31% |
| United | $1,049 - $6,988 | 31% |
| Healthyblue | $1,070 | 32% |
| Medicaid / KanCare | $1,080 | 32% |
| Unicare | $1,091 | 33% |
| Aetna | $1,091 - $7,996 | 33% |
| Humana | $2,835 - $3,508 | 85% |
| Home State Health Plan | $2,904 - $4,356 | 87% |
| Oscar | $4,212 | 126% |
| Multiplan | $4,232 - $6,046 | 127% |
| Universal Healthcare | $4,250 | 127% |
| Nhc Advantage | $4,950 | 148% |
| Corvel Corporation | $5,026 | 150% |
| Cigna | $5,044 - $7,520 | 151% |
| Oha Network | $5,237 | 157% |
Consumer Guidance & Cost Commentary
For the bunion correction surgery (CPT 28296) at Overland Park Reg Med Ctr in Overland Park, KS, the facility's negotiated rates range from $1,049 to $7,996 across 15 different payers, with a median negotiated amount of $4,222. This facility is a Proprietary Acute Care Hospital located at 10500 Quivira Road. While the data does not provide specific county or state average comparisons for this procedure, the facility's rates are benchmarked against the Medicare amount of $3,342.87, showing a markup of 1.3 times the Medicare rate. Patients should be aware that commercial negotiated rates often include administrative costs and contract premiums that can inflate the price well above the true cost of care, which is reflected in the Medicare benchmark.
To potentially lower out-of-pocket costs, patients should inquire about "self-pay" or "prompt-pay" discounts before scheduling, as paying upfront can sometimes bypass the higher administrative fees embedded in insurance contracts. It is important to verify your deductible status beforehand, as paying the full negotiated rate without meeting your deductible can result in significant expenses even if the service is covered. Additionally, while the No Surprises Act protects patients from balance billing for out-of-network services at in-network facilities, patients should request an itemized billing audit to ensure no unbundled codes or services not rendered are included in the final statement. Always confirm the specific payment classification and discount eligibility with the hospital's billing department prior to treatment.