CMS Price Transparency Data

Bunion correction surgery

Facility: Comanche County Medical Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $4,759
  • Cash Discount Price: $4,910
  • vs. Medicare Baseline: 1.42x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Comanche County Medical Center is $4,759. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,910. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.42x the Medicare baseline. Located in 10201 Hwy 16, Comanche, TX.
Cash / Self-Pay
$4,910

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,759

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: $4,910 (147%)
Insurance Median: $4,759 (142%)
Cash: $4,910 (147% of Medicare)
Ins. Median: $4,759 (142% 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
Choicecare Comm - All Other Plans $2,795 84%
Choicecare Mcr Adv $2,795 84%
Humana $2,795 - $5,288 84%
Molina Mcr Adv - All Other Plans $2,795 84%
Pphp Mcr Adv - All Plans $2,795 84%
Superior Epo/Hmo - All Plans $2,795 84%
Swhp Mcr Adv $2,795 84%
Wellmed Mcr Adv - All Plans $2,795 84%
Alliance Wc - All Plans $4,192 125%
Aetna $4,759 142%
Molina Mcaid $4,759 142%
Swhp Mcaid $4,759 142%
Cigna $4,910 147%
Blue Cross Blue Shield $5,288 - $5,666 158%
Occunet - All Plans $5,666 169%
Swhp Comm - All Other Plans $6,043 181%
First Care Hmo - All Other Plans $6,421 192%
First Care Hmo Self Funded $6,421 192%
Mpi - All Plans $6,799 203%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10201 Hwy 16, Comanche, TX 76442
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals