CMS Price Transparency Data

Bunion correction surgery

Facility: Parkland Health & Hospital System

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $8,747
Cash Discount Price: $12,842
vs. Medicare Baseline: 2.62x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Parkland Health & Hospital System is $8,747. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,842. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 2.62x the Medicare baseline. Located in 5200 Harry Hines Blvd, Dallas, TX.

Cash / Self-Pay

$12,842

Average discount available for prompt cash payment at this facility.

Insurance Median

$8,747

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: $12,842 (384%)

Insurance Median: $8,747 (262%)

Cash: $12,842 (384% of Medicare)

Ins. Median: $8,747 (262% 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 262% of the Medicare baseline (a markup of 162%). 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
Cook Children Health Plan [1380]	$1,143	34%
Wellpoint [1007]	$1,145 - $5,289	34%
Aetna	$1,202 - $25,110	36%
Parkland Community Health Plan [1056]	$1,202 - $5,553	36%
Superior Health Plan [1402]	$1,202	36%
Molina [1382]	$1,259 - $5,818	38%
Point Comfort Underwriters [1801]	$1,259	38%
Blue Cross Blue Shield	$4,161 - $30,131	124%
Superior Healthplan [1383]	$4,251	127%
Care Improvement Plus [1104]	$4,673 - $8,746	140%
Medicare (plans)	$4,695 - $9,228	140%
UnitedHealthcare	$4,695 - $27,913	140%
Wellcare Of Texas [1330]	$4,695 - $8,788	140%
Procare Advantage [2104]	$4,740 - $8,872	142%
Molina Aca [1337]	$6,708 - $12,555	201%
Cigna	$10,509 - $25,110	314%
Great West Healthcare [1037]	$13,415 - $25,110	401%
Triwest Healthcare Alliance [1409]	$16,769 - $31,387	502%

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 $12,842.
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 Parkland Health & Hospital System 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.