CMS Price Transparency Data

Bunion correction surgery

Facility: Greater Baltimore Medical Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $774
Cash Discount Price: $1,816
vs. Medicare Baseline: 0.23x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Greater Baltimore Medical Center is $774. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,816. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.23x the Medicare baseline. Located in 6701 North Charles Street, Baltimore, MD.

Cash / Self-Pay

$1,816

Average discount available for prompt cash payment at this facility.

Insurance Median

$774

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: $1,816 (54%)

Insurance Median: $774 (23%)

Cash: $1,816 (54% of Medicare)

Ins. Median: $774 (23% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$501 - $820	15%
Md Physician Care [237]	$538 - $737	16%
Medicaid / KanCare	$538 - $737	16%
Priority Partners [241]	$538 - $737	16%
UnitedHealthcare	$538 - $978	16%
Wellpoint [235]	$538 - $737	16%
Carefirst Maryland Health Advantage Mca [264]	$547 - $942	16%
Carefirst [201]	$547 - $1,443	16%
Cfchp Mco [239]	$547 - $942	16%
Cigna	$547 - $1,194	16%
Communicare Advantage [300]	$547 - $942	16%
Humana	$547 - $942	16%
Johns Hopkins [213]	$547 - $1,262	16%
Keycare Advantage [299]	$547 - $942	16%
Medicare (plans)	$547 - $942	16%
Provider Partners Health Plan [298]	$547 - $942	16%
Alterwood Health [290]	$549 - $752	16%
Jai Medical Services [236]	$565 - $774	17%
Carefirst Blue Choice Hmo [253]	$602 - $1,327	18%
Carefirst Administrator [252]	$655 - $1,443	20%
First Health Network [268]	$711 - $1,224	21%
Multiplan/Phcs [296]	$711 - $1,224	21%
Kaiser Permanente Hmo [231]	$772 - $1,328	23%
Usa Managed Care Organization [301]	$837 - $1,441	25%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $1,816.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 28296.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Greater Baltimore Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 28296.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.