CMS Price Transparency Data

Bunion correction surgery

Facility: University of Texas M. D. Anderson Cancer Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $2,106
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.63x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at University of Texas M. D. Anderson Cancer Center is $2,106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.63x the Medicare baseline. Located in 1515 Holcombe Blvd, Houston, TX.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,106

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%)

Insurance Median: $2,106 (63%)

Ins. Median: $2,106 (63% 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
Texaschildrens	$375 - $428	11%
Tricare	$445 - $523	13%
Vacare	$445 - $523	13%
UnitedHealthcare	$588 - $3,005	18%
Medicare (plans)	$628	19%
Blue Cross Blue Shield	$904 - $1,008	27%
Aetna	$1,013 - $2,106	30%
Cigna	$1,552 - $3,649	46%
Humana	$2,576 - $3,563	77%
Ontarioministriesofhealth	$3,177	95%
Beijingst.Lucia	$3,220	96%
Embassyofqatar	$3,220	96%
Memorialhermannhealth	$3,220	96%
Emergingtherapysolutions_Cancercare	$3,434	103%
Interlink_Cancercare	$3,434	103%
Saudiarmedforces	$3,434	103%
Uae_Medical	$3,434	103%
Uaepoliceattache	$3,434	103%
Healthsmart	$3,649	109%
Vantage	$3,649	109%
Multiplan	$4,465	134%
Phcs	$4,465	134%

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 $X.
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 University of Texas M. D. Anderson Cancer 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.