CMS Price Transparency Data

Bunion correction surgery

Facility: University of Michigan Health System

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $748
  • Cash Discount Price: $887
  • vs. Medicare Baseline: 0.22x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at University of Michigan Health System is $748. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $887. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.22x the Medicare baseline. Located in 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI.
Cash / Self-Pay
$887

Average discount available for prompt cash payment at this facility.

Insurance Median
$748

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: $887 (27%)
Insurance Median: $748 (22%)
Cash: $887 (27% of Medicare)
Ins. Median: $748 (22% 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
Aetna $335 - $1,463 10%
Ambetter / Centene $335 - $560 10%
Blue Cross Blue Shield $335 - $1,191 10%
Buckeye Community Health Plan $335 - $560 10%
Hap Midwest $335 - $560 10%
Mclaren Health Plan Inc $335 - $1,330 10%
Medicaid / KanCare $335 - $1,108 10%
Molina Healthcare Of Michigan Inc $335 - $748 10%
Priority Health $335 - $2,217 10%
UnitedHealthcare $335 - $1,618 10%
Amerihealth Michigan Inc $419 - $586 13%
Huron Valley Pace $498 - $696 15%
Blue Care Network Of Michigan $524 - $1,191 16%
Health Alliance Plan $524 - $733 16%
Humana $524 - $733 16%
Medigold Trinity Health Plan Of Michigan $524 - $733 16%
Meridian Health Plan Of Michigan Inc $524 - $733 16%
Paramount Elite-Ohio $524 - $733 16%
Paramount Health Care $524 - $1,840 16%
Thome Pace $524 - $733 16%
Triwest $524 - $733 16%
Veteran Affairs Community Care Program $524 - $733 16%
Medicare (plans) $532 - $744 16%
Zing Health $550 - $770 16%
Employee Benefit Logistic $891 - $1,246 27%
Point Comfort Underwriters Unaccompanied Children Program $953 29%
Priority Health [1038] $1,020 - $1,485 31%
Metrocare $1,042 31%
Hap [1023] $1,217 - $1,663 36%
Plain Church Group $1,330 40%
First Health $1,441 43%
Cofinity $1,463 44%
Confinity Advantage $1,463 44%
Beaumont Health Network $1,552 46%
Nomi Health $1,552 46%
Provider Network Of America $1,552 46%
First Agency $1,663 50%
Parkview Health Plan Services $1,663 50%
Bronson Healthcare Group $1,884 56%
Multiplan $1,884 56%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 E Medical Center Drive, Spc 5474, Ann Arbor, MI 48109
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals