CMS Price Transparency Data

Bunion correction surgery

Facility: Geisinger Jersey Shore Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $3,691
Cash Discount Price: $3,858
vs. Medicare Baseline: 1.10x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Geisinger Jersey Shore Hospital is $3,691. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,858. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.10x the Medicare baseline. Located in 1020 Thompson Street, Jersey Shore, PA.

Cash / Self-Pay

$3,858

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,691

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: $3,858 (115%)

Insurance Median: $3,691 (110%)

Cash: $3,858 (115% of Medicare)

Ins. Median: $3,691 (110% 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	$1,000 - $5,538	30%
Geisinger Health Plan	$1,245 - $4,583	37%
Advantra	$1,298	39%
Aetna	$1,298 - $7,141	39%
American Progressive	$1,298	39%
Medicare (plans)	$1,298	39%
Humana	$1,311	39%
UnitedHealthcare	$2,763 - $4,145	83%
Cigna	$2,987 - $4,481	89%
Christian Healthcare Ministries	$3,112 - $4,668	93%
Ambetter / Centene	$3,115	93%
Prison Health Services	$3,855	115%
Medical Development International	$4,356 - $6,534	130%
Integrated Health Plan	$4,667 - $7,001	140%
Prime Health Services	$4,667 - $7,001	140%
Multiplan	$4,978 - $7,468	149%

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 $3,858.
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 Geisinger Jersey Shore 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.