CMS Price Transparency Data

Bunion correction surgery

Facility: North Memorial Health Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $577
Cash Discount Price: $1,440
vs. Medicare Baseline: 0.17x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at North Memorial Health Hospital is $577. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,440. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.17x the Medicare baseline. Located in 3300 Oakdale North, Robbinsdale, MN.

Cash / Self-Pay

$1,440

Average discount available for prompt cash payment at this facility.

Insurance Median

$577

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: $1,440 (43%)

Insurance Median: $577 (17%)

Cash: $1,440 (43% of Medicare)

Ins. Median: $577 (17% 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
Medica [1086]	$382 - $2,058	11%
Health Partners [1061]	$383 - $2,123	11%
Medicaid / KanCare	$383	11%
Blue Cross Blue Shield	$387 - $2,119	12%
Hennepin Health [1096]	$421 - $429	13%
Ucare [1148]	$459 - $915	14%
Medicare (plans)	$508	15%
UnitedHealthcare	$523 - $1,946	16%
Aetna	$567	17%
Humana	$569	17%
America'S Ppo [1010]	$1,704 - $1,813	51%
Cigna	$2,208	66%

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 $1,440.
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 North Memorial Health Hospital 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.