CMS Price Transparency Data

Bunion correction surgery

Facility: Swedish Medical Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $8,621
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.58x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Swedish Medical Center is $8,621. 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 2.58x the Medicare baseline. Located in 747 Broadway, Seattle, WA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$8,621

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: $8,621 (258%)

Ins. Median: $8,621 (258% 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 258% of the Medicare baseline (a markup of 158%). 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
Kaiser	$3,789 - $5,683	113%
Aetna	$3,903 - $13,533	117%
UnitedHealthcare	$3,978 - $16,071	119%
Humana	$4,016	120%
Blue Shield	$4,092	122%
Amerigroup	$4,168	125%
Cigna	$4,547 - $7,277	136%
Community Health Plan	$6,062	181%
Blue Cross Blue Shield	$6,820 - $11,350	204%
Coordinated Care	$7,010	210%
Blue Shield-Ballard	$8,621 - $11,565	258%
Blue Shield-First Hill	$8,621 - $11,565	258%
Blue Shield-Mill Creek	$8,621 - $11,565	258%
Blue Shield-Redmond	$8,621 - $11,565	258%
Providence Health Plan	$11,511	344%
First Choice	$13,331 - $14,043	399%

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 Swedish 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.