Bunion correction surgery
Facility: Menorah Medical Center
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 - $9,451 | 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 CPT code 28296 (Bunion correction surgery) at Menorah Medical Center 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 commercial rate is 1.3 times the Medicare benchmark of $3,342.87, indicating a markup above the federal cost baseline. While the facility is a Proprietary Acute Care Hospital located in ZIP code 66209, patients should be aware that cash-pay options are not listed in this report. However, for individuals with high-deductible plans, paying cash upfront can sometimes be more cost-effective if the insurance negotiated rate exceeds the facility's cash price, which is often the case when administrative overhead inflates the billed amount.
To secure the most favorable price, patients should proactively ask the hospital about "self-pay" or "prompt-pay" discounts before scheduling, as these incentives can reduce bills by 20% to 50% by bypassing costly claims processing and administrative fees. It is important to verify the specific allowed amount for your insurance plan rather than assuming that being in-network guarantees the lowest possible cost, as negotiated rates vary significantly by carrier and plan tier. Additionally, if you receive a bill that includes charges for services not rendered or unbundled components, you should request a full itemized audit to identify errors, as over 80% of hospital bills contain discrepancies that can be corrected through formal written disputes.