CMS Price Transparency Data

Bunion correction surgery

Facility: M Health Fairview Ridges Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $2,745
Cash Discount Price: $1,556
vs. Medicare Baseline: 0.82x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at M Health Fairview Ridges Hospital is $2,745. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,556. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.82x the Medicare baseline. Located in 201 East Nicollet Boulevard, Burnsville, MN.

Cash / Self-Pay

$1,556

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,745

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: $1,556 (47%)

Insurance Median: $2,745 (82%)

Cash: $1,556 (47% of Medicare)

Ins. Median: $2,745 (82% 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
Health Partners	$360 - $7,302	11%
Itasca Medical Care	$360 - $3,156	11%
Primewest	$360 - $3,156	11%
South Country Health Alliance	$360 - $3,156	11%
Ucare	$367 - $7,253	11%
Medica	$382 - $4,192	11%
Hennepin Health	$407 - $3,268	12%
Blue Cross Blue Shield	$409 - $5,494	12%
Sanford Health Plan	$488 - $3,156	15%
Security Health Plan	$488 - $3,156	15%
UnitedHealthcare	$488 - $5,499	15%
Wellcare	$488 - $3,156	15%
America'S Ppo	$2,716 - $2,892	81%
First Health	$2,930 - $3,002	88%
Multiplan	$3,037 - $3,112	91%
Private Healthcare Systems	$3,037 - $3,112	91%
Wisconsin Physician Services	$3,216 - $3,295	96%

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 $1,556.
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 M Health Fairview Ridges 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.