CMS Price Transparency Data

Bunion correction surgery

Facility: Mid-Columbia Medical Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $617
Cash Discount Price: $1,350
vs. Medicare Baseline: 0.18x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Mid-Columbia Medical Center is $617. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,350. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.18x the Medicare baseline. Located in 1700 E 19Th Street, The Dalles, OR.

Cash / Self-Pay

$1,350

Average discount available for prompt cash payment at this facility.

Insurance Median

$617

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: $1,350 (40%)

Insurance Median: $617 (18%)

Cash: $1,350 (40% of Medicare)

Ins. Median: $617 (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.

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
Blue Cross Blue Shield	$475 - $1,021	14%
Community Hp Mcr Adv - All Plans	$475	14%
Molina Mcr Adv	$475	14%
Tricare	$475	14%
Va Ccn Triwest - All Plans	$475	14%
Healthnet Mcr Adv	$485	15%
Humana	$490	15%
Moda Mcr Adv	$490	15%
Devoted Mcr Adv - All Plans	$513	15%
Employee Health Plan - All Plans	$523	16%
Molina - All Other Plans	$523	16%
Healthnet - All Other Plans	$711	21%
Cigna	$796	24%
Multiplan/Phcs - All Plans	$808	24%
Aetna	$903	27%
Coventry - All Plans	$918	27%
First Choice - All Plans	$933	28%
Providence Ppo - All Plans	$977	29%
Moda Health Plan - All Other Plans	$1,024	31%
Molina Mcaid	$1,462	44%
Amerigroup Mcaid - All Plans	$2,812	84%
Coordinated Care Mcaid - All Plans	$2,812	84%

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 $1,350.
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 Mid-Columbia Medical Center 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.