CMS Price Transparency Data

Bunion correction surgery

Facility: Southern Coos Hospital & Health Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $2,311
Cash Discount Price: $2,311
vs. Medicare Baseline: 0.69x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Southern Coos Hospital & Health Center is $2,311. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,311. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.69x the Medicare baseline. Located in 900 11Th Street Se, Bandon, OR.

Cash / Self-Pay

$2,311

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,311

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: $2,311 (69%)

Insurance Median: $2,311 (69%)

Cash: $2,311 (69% of Medicare)

Ins. Median: $2,311 (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
Tricare	$2,034	61%
Aetna	$2,311	69%
Atrio Mcr Adv - Allplans	$2,311	69%
Confederated Tribes - All Plans	$2,311	69%
Moda Mcr Adv	$2,311	69%
Pacific Source Mcr Adv	$2,311	69%
Cigna	$2,575	77%
Moda Health Plan - All Other Plans	$2,575	77%
Blue Cross Blue Shield	$2,597	78%
Providence Preferred - All Plans	$2,881	86%

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 $2,311.
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 Southern Coos Hospital & Health 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.