CMS Price Transparency Data

Bunion correction surgery

Facility: Anmed Health

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $760
  • Cash Discount Price: $735
  • vs. Medicare Baseline: 0.23x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Anmed Health is $760. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $735. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.23x the Medicare baseline. Located in 800 N Fant St, Anderson, SC.
Cash / Self-Pay
$735

Average discount available for prompt cash payment at this facility.

Insurance Median
$760

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: $735 (22%)
Insurance Median: $760 (23%)
Cash: $735 (22% of Medicare)
Ins. Median: $760 (23% 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
Medicaid / KanCare $345 - $746 10%
Humana $362 - $1,913 11%
Select Health Of Sc [637] $396 - $665 12%
Absolute Total Care [58] $453 - $760 14%
Aetna $477 - $1,264 14%
Blue Cross Blue Shield $477 - $1,199 14%
Medicare (plans) $477 - $934 14%
UnitedHealthcare $477 - $1,447 14%
Vaccn - Va Community Care Network [16] $477 - $790 14%
Veterans Administration [633] $477 - $790 14%
Devoted Health Alt Payer [9401] $487 - $806 15%
Devoted Health [94] $487 - $806 15%
Cigna $492 - $1,563 15%
Molina Dual Options Alt Payer [1501] $492 - $814 15%
Molina Dual Options [15] $492 - $814 15%
Champva [604] $493 - $827 15%
Tricare $493 - $827 15%
Absolute Total Care Mcr Plans Alt Payer [4101] $494 - $818 15%
Absolute Total Care Mcr Plans [41] $494 - $818 15%
Blue Choice Health Plan [922] $496 - $1,327 15%
First Choice Vip Careplus Alt Payer [3301] $501 - $830 15%
First Choice Vip [33] $501 - $830 15%
Nhc Advantage Alt Payer [6101] $501 - $830 15%
Nhc Advantage [61] $501 - $830 15%
Bright Health Alt Payer [1001] $530 - $934 16%
Bright Health [11] $655 - $1,147 20%
Ambetter / Centene $682 - $1,130 20%
First Choice Next [96] $692 - $1,146 21%
Molina Marketplace [97] $692 - $1,146 21%
Employee Benefit Management Services [869] $706 - $768 21%
Workers Compensation [622] $763 - $1,280 23%
Mail Handlers Benefit Plan [327] $764 - $1,264 23%
Rural Carrier Benefit Plan [406] $764 - $1,264 23%
Geha [302] $833 - $1,447 25%
Golden Rule Ins Co [584] $833 - $1,447 25%
Edison Health Solutions [95] $835 - $1,383 25%
Healthscope [98] $835 - $1,383 25%
Preferred Administrators [19] $882 - $960 26%
Nalc Health Benefit Plan [291] $887 - $1,563 27%
Medcost [206] $1,049 - $1,835 31%
Planned Administrators [886] $1,199 36%
Thomas Cooper & Company [315] $1,199 36%
Phcs [940] $1,294 - $1,408 39%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 N Fant St, Anderson, SC 29621
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals