CMS Price Transparency Data

Bunion correction surgery

Facility: Moberly Regional Medical Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $6,195
  • Cash Discount Price: $24,024
  • vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Moberly Regional Medical Center is $6,195. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $24,024. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.85x the Medicare baseline. Located in 1515 Union Ave, Moberly, MO.
Cash / Self-Pay
$24,024

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,195

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: $24,024 (719%)
Insurance Median: $6,195 (185%)
Cash: $24,024 (719% of Medicare)
Ins. Median: $6,195 (185% 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
Veterans Eval Services $772 23%
Medicaid / KanCare $2,766 - $4,564 83%
Healthlink $3,060 - $3,400 92%
Medicare (plans) $3,454 103%
Node Va $3,510 105%
UnitedHealthcare $3,510 - $68,067 105%
Blue Cross Blue Shield $3,523 - $31,676 105%
Node Devoted Health Mcr Adv $3,626 108%
Centurion Correctional $4,387 131%
Corizon $4,387 131%
Us Department Of Labor $4,387 131%
Home State Health Plan $4,564 - $6,493 137%
Pathway/Pathway X $4,830 144%
Healthscope Benefits $5,897 176%
Naphcare $6,669 199%
Blue Preferred $6,684 200%
Tricare $8,376 251%
Blue Access $15,876 475%
United Behavioral Health Mcd $17,795 532%
Self Pay $24,024 719%
Cigna $27,761 830%
Access Health Services, Llc $57,835 1730%
Aetna $58,546 - $71,181 1751%
Blue Traditional $63,609 1903%
Multiplan Primary $66,732 1996%
Coventry Wc $71,181 2129%
Multiplan $72,071 2156%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Union Ave, Moberly, MO 65270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals