CMS Price Transparency Data

Bunion correction surgery

Facility: Deaconess Henderson Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $1,277
  • Cash Discount Price: $933
  • vs. Medicare Baseline: 0.38x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Deaconess Henderson Hospital is $1,277. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $933. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.38x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$933

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,277

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$3,342.87

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $3,342.87 (100%)
Cash / Self-Pay: $933 (28%)
Insurance Median: $1,277 (38%)
Cash: $933 (28% of Medicare)
Ins. Median: $1,277 (38% of 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.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Blue Cross Blue Shield $419 - $2,843 13%
Wellcare Il $419 - $2,843 13%
Aetna $469 - $2,843 14%
Humana $469 - $2,843 14%
Medicare (plans) $469 - $2,843 14%
Mhs Mco $469 - $2,843 14%
Molina Healthcare Of Ky $469 - $2,843 14%
Molina Healthcare Of Ky - Exchange $469 - $2,843 14%
Mytru Advantage $469 - $2,843 14%
Umwa $469 - $2,843 14%
UnitedHealthcare $469 - $8,979 14%
Wellcare Ky $469 - $3,411 14%
Medicaid / KanCare $515 - $811 15%
Caresource In Marketplace $610 - $4,264 18%
Wellcare Ky Commercial Exchange $610 - $5,828 18%
Alliance Coal $647 - $4,264 19%
Center Care Narrow $750 22%
Center Care Open Access $750 22%
Noncontracted $750 - $4,548 22%
Caresource In $811 24%
Ky Racing Health & Welfare Fund $933 28%
Self-Pay $933 28%
Encircle/Encore Combined $1,277 38%
Encircle/Encore Prime $1,277 38%
Cigna $1,600 48%
Claimdoc $1,600 - $6,823 48%
Hopetrust $1,600 - $6,823 48%
Hstechnology $1,600 - $6,823 48%
Amish And Mennonite Of Western Ky $1,734 - $4,264 52%
First Health Network (Coventry) $1,796 54%
Healthlink $1,796 54%
Iu Health Plans $1,796 54%
Phcs/Multiplan $1,796 54%
Sagamore $1,796 54%
Coventry National Network $2,134 64%
Webster County Detention Center $2,134 64%
Henderson County Detention Center $2,400 72%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals