CMS Price Transparency Data

Bunion correction surgery

Facility: T J Samson Community Hospital

Billing Code: 28296 (CPT)

The BaseRate · fair price medium confidence

A fair price for this

$608

about 0.2× the $3,343 Medicare rate · typically $523–$2,154

modeled estimate · not a bill or quote

What this hospital charges insurers

$523

Below the fair price — a good deal

about $85 under the fair price · 0.2× Medicare

Medicare pays $3,343 Fair price $608 This hospital $523 Cash price $2,123 Hospital's list price $3,266

How we calculate the fair BaseRate →

How this hospital compares to other KY hospitals

One of the lower prices — 7 of 8 other KY hospitals charge more for the same procedure.

Cheapest $489 Priciest $3,087

Black dot = this hospital, among the 9 KY hospitals with a price for this procedure. Full list below.

⚠ The cash price looks unusually high next to the insurance price — it may be the full list price, not a real cash discount. Call to confirm the self-pay rate.

A fair price for a Bunion correction surgery is about $608 (about 0.2× the $3,343 Medicare rate). T J Samson Community Hospital charges insurers about $523, or about $2,123 in cash — below the fair price — a good deal. Located in Glasgow, KY.

What each insurance company pays

Which insurers have negotiated a price with this hospital for this procedure — and which haven’t.

4 of 6 major insurers have a published price at this hospital

✓ UnitedHealthcare✓ Blue Cross Blue Shield✓ Aetna✓ Humana CignaKaiser Permanente

Crossed out = this hospital hasn’t published a negotiated price for that insurer for this procedure. It doesn’t necessarily mean they aren’t accepted — ask your insurer.

Insurance company	Price range	vs. Medicare
UnitedHealthcaremajor	$4,156	124%
Blue Cross Blue Shieldmajor	$461 - $4,547	14%
Aetnamajor	$515 - $1,183	15%
Humanamajor	$489 - $3,327	15%
CareSource	$599 - $4,990	18%
Devoted Health	$484 - $3,493	14%
Molina	$470 - $4,990	14%
WellCare	$461 - $3,327	14%
+ 2 smaller / regional plans	$461 - $4,547

Excludes 2 rental-network / third-party entries (e.g. Multiplan, PHCS) — these are pricing networks, not insurers.

Self-Pay How to get the cash price

Tell the billing desk you want to be billed as self-pay — not through insurance — before your visit.
Ask for the cash / prompt-pay discount in writing, with the exact price (about 2,123), before you agree to anything.
Get it in writing that they won’t also bill your insurance, so the cash price is what you owe.
Check the CPT code on your bill matches exactly: 28296.

Insurance Before you use insurance

Call your insurance company to confirm T J Samson Community Hospital is in-network.
Ask your insurer whether prior approval is required for CPT code 28296.
Confirm the doctor or provider is in-network too — not just the hospital building.
Check your Explanation of Benefits against the hospital’s final itemized bill.

Estimate your out-of-pocket cost

A rough estimate of what you’d pay with insurance (deductible + coinsurance) versus paying the cash price yourself.

How you’d pay

Deductible left to meet ($)

Your coinsurance (%)

Enter your details and press estimate to compare.

Other Procedures at T J Samson Community Hospital

Compare: Bunion correction surgery at other KY hospitals

St Claire Regional Medical Center · Morehead $489
Tj Health Columbia · Columbia $588
Baptist Health Deaconess Madisonville · Madisonville $621
Deaconess Henderson Hospital · Henderson $925
Trigg County Hospital · Cadiz $2,481
Norton Hospitals, Inc · Louisville $3,015
Saint Joseph London · London $3,028
Saint Joseph Mount Sterling · Mount Sterling $3,087

Insurance negotiated median for the same procedure, sorted lowest first.