CMS Price Transparency Data

Bunion correction surgery

Facility: Henry Ford Allegiance Health

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $588
Cash Discount Price: $682
vs. Medicare Baseline: 0.18x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Henry Ford Allegiance Health is $588. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $682. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.18x the Medicare baseline. Located in 205 N East Ave, Jackson, MI.

Cash / Self-Pay

$682

Average discount available for prompt cash payment at this facility.

Insurance Median

$588

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: $682 (20%)

Insurance Median: $588 (18%)

Cash: $682 (20% of Medicare)

Ins. Median: $588 (18% 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
Blue Cross Blue Shield	$261 - $11,778	8%
Hap Caresource	$261 - $3,278	8%
Mclaren	$261	8%
Meridian Health Plan Of Mi	$261 - $4,425	8%
Priority Health	$261 - $4,523	8%
Aetna	$274 - $3,278	8%
Mclaren Health Plan Inc.	$335 - $799	10%
Meridian	$335 - $560	10%
Molina	$348 - $1,878	10%
Priority	$351 - $799	10%
Humana	$405 - $3,344	12%
Hap	$414 - $3,311	12%
Bcn	$487 - $3,278	15%
Cca Health Mi	$487 - $799	15%
Health Alliance Plan Of Michigan	$487 - $799	15%
Thomas Pace	$487 - $3,278	15%
Vaccn	$494	15%
United Behavioral Health, Inc.	$524 - $862	16%
Vitalcore Physicians Group Of Mi	$633 - $7,312	19%
Cigna	$1,019	30%
Cofinity	$1,198	36%
Frontpath	$1,485	44%
Veterans Evaluation Services	$2,723	81%
Molina Mi Health Link	$2,937	88%
UnitedHealthcare	$2,937 - $3,278	88%
Cca Health Michigan	$3,278	98%
Mclaren Health	$3,278	98%

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 $682.
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 Henry Ford Allegiance Health 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.