CMS Price Transparency Data

Bunion correction surgery

Facility: Titus Regional Medical Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $792
Cash Discount Price: $1,882
vs. Medicare Baseline: 0.24x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Titus Regional Medical Center is $792. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,882. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.24x the Medicare baseline. Located in 2001 N Jefferson, Mount Pleasant, TX.

Cash / Self-Pay

$1,882

Average discount available for prompt cash payment at this facility.

Insurance Median

$792

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: $1,882 (56%)

Insurance Median: $792 (24%)

Cash: $1,882 (56% of Medicare)

Ins. Median: $792 (24% 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
Christus Health Plan	$352	11%
Humana	$352 - $2,195	11%
Tricare	$352	11%
Triwest	$352 - $1,360	11%
UnitedHealthcare	$352 - $2,462	11%
Texas Mutual	$363	11%
Curative	$388	12%
Superior	$428	13%
Blue Cross Blue Shield	$504 - $2,750	15%
Healthcare Highways	$675	20%
Aetna	$788 - $793	24%
Claritev	$975	29%
Healthsmart	$2,195	66%
Cigna	$2,509	75%
Galaxy Health	$2,979	89%

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 $1,882.
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 Titus Regional Medical 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.