CMS Price Transparency Data

Bunion correction surgery

Facility: Round Rock Medical Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $4,638
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.39x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Round Rock Medical Center is $4,638. 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 1.39x the Medicare baseline. Located in 2400 Round Rock Ave, Round Rock, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,638

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: $4,638 (139%)
Ins. Median: $4,638 (139% 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
Amerigroup $521 16%
St David’S Hospice $1,088 33%
Blue Cross Blue Shield $1,143 - $8,650 34%
United $1,168 - $11,764 35%
Molina Healthcare $1,197 36%
Humana $1,360 41%
Sendero $1,360 41%
Aetna $1,524 - $5,457 46%
Superior Health Plan $2,323 69%
Cigna $3,716 - $4,744 111%
Nomi Health $5,054 - $5,320 151%
Evry Health $5,499 164%
Moda $5,502 165%
Curative Administrators $5,849 175%
Oscar $5,938 - $7,019 178%
Healthcare Highways $6,162 - $6,287 184%
Harbor Health Team $6,450 193%
Moda Health $6,746 - $6,879 202%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2400 Round Rock Ave, Round Rock, TX 78681
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals