CMS Price Transparency Data

Bunion correction surgery

Facility: Harrison County Community Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $2,987
Cash Discount Price: $3,348
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Harrison County Community Hospital is $2,987. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,348. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.89x the Medicare baseline. Located in 2600 Miller Street, Bethany, MO.

Cash / Self-Pay

$3,348

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,987

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: $3,348 (100%)

Insurance Median: $2,987 (89%)

Cash: $3,348 (100% of Medicare)

Ins. Median: $2,987 (89% 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
Multiplan	$450 - $4,120	13%
Cigna	$477 - $4,120	14%
Provider Partners Health Plans	$477 - $3,226	14%
Care Improvement Plus	$491 - $2,987	15%
Blue Cross Blue Shield	$510 - $4,532	15%
Allwell	$549 - $2,987	16%
Ambetter / Centene	$549 - $2,987	16%
Blue Advantage Plus	$549 - $2,987	16%
Humana	$549 - $4,635	16%
UnitedHealthcare	$549 - $4,378	16%
Aetna	$668 - $4,532	20%
6 Degrees Health	$692 - $4,120	21%
Wellmark	$1,318 - $4,120	39%
Healthy Blue	$3,518 - $3,602	105%
Home State	$3,518 - $3,602	105%

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 $3,348.
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 Harrison County Community 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.