CMS Price Transparency Data

Bunion correction surgery

Facility: Christ Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $11,889
Cash Discount Price: $10,528
vs. Medicare Baseline: 3.56x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Christ Hospital is $11,889. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $10,528. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 3.56x the Medicare baseline. Located in 2139 Auburn Avenue, Cincinnati, OH.

Cash / Self-Pay

$10,528

Average discount available for prompt cash payment at this facility.

Insurance Median

$11,889

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: $10,528 (315%)

Insurance Median: $11,889 (356%)

Cash: $10,528 (315% of Medicare)

Ins. Median: $11,889 (356% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 356% of the Medicare baseline (a markup of 256%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Aetna	$478 - $20,283	14%
Ambetter / Centene	$478 - $11,889	14%
Blue Cross Blue Shield	$478 - $39,472	14%
Golden Rule [2161]	$478 - $12,932	14%
Humana	$478 - $20,283	14%
UnitedHealthcare	$478 - $20,283	14%
Caresource [2031]	$602 - $20,283	18%
Medicaid / KanCare	$602 - $20,283	18%
Allied Benefits [2163]	$11,889	356%
Buckeye Mycare Dual [2171]	$11,889	356%
Cigna	$11,889	356%
Custom Design Benefits - True Cost [3004]	$11,889	356%
First Health [2041]	$11,889	356%
Medben [2222]	$11,889	356%
Medicare (plans)	$11,889	356%
Medigold Ppo [2204]	$11,889	356%
Meridian [2185]	$11,889	356%
Meritain Health [2224]	$11,889	356%
Other Exchange Plan [9992]	$11,889	356%
Perennial [4200]	$11,889	356%
Poppins Health [2299]	$11,889	356%
Geha [2168]	$12,932	387%
United Medical Resources [2104]	$12,932	387%
Amerihealth Caritas [2230]	$20,283	607%
Buckeye Community Health [2028]	$20,283	607%
Medical Mutual [2054]	$35,027	1048%
Western And Southern [2076]	$35,027	1048%

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 $10,528.
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 Christ 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.