CMS Price Transparency Data

Bunion correction surgery

Facility: Carolinas Medical Center/Behav Health

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $502
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.15x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Carolinas Medical Center/Behav Health is $502. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.15x the Medicare baseline. Located in 1000 Blythe Blvd, Charlotte, NC.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$502

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%)

Insurance Median: $502 (15%)

Ins. Median: $502 (15% 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
Partners	$412	12%
Amerihealth Caritas	$416	12%
Carolina Complete Health	$416	12%
Healthy Blue	$416	12%
Trillium	$416	12%
UnitedHealthcare	$416 - $3,417	12%
Vaya	$416	12%
Wellcare	$416	12%
Alliance	$420	13%
Blue Cross Blue Shield	$484	14%
Cigna	$484 - $3,407	14%
Humana	$493 - $3,310	15%
Aetna	$501 - $3,358	15%
Ortho Carolina	$605 - $4,056	18%
Molina	$1,696	51%

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 $X.
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 Carolinas Medical Center/Behav 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.