CMS Price Transparency Data

Bunion correction surgery

Facility: Nebraska Orthopaedic Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $3,978
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.19x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Nebraska Orthopaedic Hospital is $3,978. 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 1.19x the Medicare baseline. Located in 2808 South 143Rd Plaza, Omaha, NE.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,978

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: $3,978 (119%)

Ins. Median: $3,978 (119% 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
Amerigroup	$1,286	38%
UnitedHealthcare	$2,340 - $7,928	70%
Midlands Choice	$2,621 - $4,581	78%
Midwest Network	$2,621	78%
Blue Cross Blue Shield	$2,948 - $8,362	88%
Self Pay	$3,042	91%
Humana	$3,162 - $3,978	95%
Paramount Group - Wellcare	$3,194	96%
Immanuel Pathways	$3,225	96%
Aetna	$3,672	110%
Allied	$4,111	123%
Multiplan	$4,212	126%
Carrum Health	$4,365 - $4,743	131%
Partners Health Alliance	$4,680	140%
Ambetter / Centene	$4,743 - $7,051	142%
Total Care	$7,928	237%

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 Nebraska Orthopaedic 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.