CMS Price Transparency Data

Bunion correction surgery

Facility: Fisher-Titus Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $2,520
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.75x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Fisher-Titus Hospital is $2,520. 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 0.75x the Medicare baseline. Located in 272 Benedict Avenue, Norwalk, OH.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,520

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: $2,520 (75%)
Ins. Median: $2,520 (75% 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
Perennial Advantage $128 - $3,196 4%
UnitedHealthcare $128 - $3,104 4%
Sidecar $133 - $6,545 4%
Blue Cross Blue Shield $2,520 - $3,044 75%
Caresource $2,520 - $3,044 75%
Amerihealth $2,595 78%
Buckeye $2,595 - $3,044 78%
Molina $2,595 78%
Aetna $3,044 91%
Medical Mutual Of Ohio $3,044 91%
Paramount $3,044 91%
Summacare $3,044 91%
Wellcare $3,044 91%
Zing Health $3,044 91%
Valor Health $3,135 94%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 272 Benedict Avenue, Norwalk, OH 44857
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals