CMS Price Transparency Data

Bunion correction surgery

Facility: Mary Hitchcock Memorial Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $2,292
Cash Discount Price: $2,629
vs. Medicare Baseline: 0.69x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Mary Hitchcock Memorial Hospital is $2,292. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,629. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.69x the Medicare baseline. Located in 1 Medical Center Drive, Lebanon, NH.

Cash / Self-Pay

$2,629

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,292

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: $2,629 (79%)

Insurance Median: $2,292 (69%)

Cash: $2,629 (79% of Medicare)

Ins. Median: $2,292 (69% 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
Granite State Health Plan	$346 - $1,082	10%
Blue Cross Blue Shield	$354 - $14,128	11%
Martin'S Point Generations Advantage	$354 - $3,631	11%
Mvp	$354 - $5,757	11%
UnitedHealthcare	$354 - $9,566	11%
Aetna	$365 - $6,032	11%
Cigna	$365 - $7,233	11%
Wellsense Health Plan	$365 - $3,812	11%
Wellcare Health Plans	$368 - $3,776	11%
Ambetter / Centene	$372 - $7,812	11%
Amerihealth Caritas Nh	$373 - $973	11%
Beacon Health Strategies/Carelon	$373 - $1,049	11%
Harvard Pilgrim Health Care Of Ne	$378 - $11,360	11%
Martin'S Point Health Care	$621 - $3,631	19%
Mass General Brigham Health Plan	$1,411 - $5,344	42%
Tufts Health Plan	$1,518 - $5,013	45%
Maine Community Health Options	$5,473 - $6,315	164%
Coventry	$7,475	224%
First Health/Hcvm	$7,475	224%
Phcs	$7,733	231%
Corvel	$7,905	236%
Ccmsi	$8,162	244%

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 $2,629.
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 Mary Hitchcock Memorial 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.