CMS Price Transparency Data

Bunion correction surgery

Facility: Howard County Medical Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $600
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.18x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Howard County Medical Center is $600. 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 0.18x the Medicare baseline. Located in P O Box 406, 1113 Sherman St, St Paul, NE.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$600

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: $600 (18%)
Ins. Median: $600 (18% 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
Nebraska Total Care $120 - $900 4%
UnitedHealthcare $120 - $1,885 4%
Molina Healthcare $122 - $918 4%
Aetna $261 - $1,961 8%
Humana $402 12%
Blue Cross Blue Shield $472 - $3,826 14%
Great Plains $472 14%
Medica Chi $472 14%
Tricare $472 14%
Medica Standard Premier $473 14%
Medica Elevate $482 - $928 14%
Nebraska Total Care - Wellcare $487 15%
Oscar Health $827 25%
Medica Ifb Aco $943 28%
Ambetter / Centene $945 28%
Beshp $945 28%
Medica Chi Aco $974 29%
Medica Choice National $1,040 31%
Medica Ifb Open Access $1,205 36%
Midland'S Choice $1,655 50%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: P O Box 406, 1113 Sherman St, St Paul, NE 68873
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Other
  • Hospital Type: Critical Access Hospitals