CMS Price Transparency Data

Bunion correction surgery

Facility: Jefferson Healthcare

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $737
Cash Discount Price: $1,766
vs. Medicare Baseline: 0.22x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Jefferson Healthcare is $737. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,766. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.22x the Medicare baseline. Located in 834 Sheridan Street, Port Townsend, WA.

Cash / Self-Pay

$1,766

Average discount available for prompt cash payment at this facility.

Insurance Median

$737

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: $1,766 (53%)

Insurance Median: $737 (22%)

Cash: $1,766 (53% of Medicare)

Ins. Median: $737 (22% 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
Tricare	$491	15%
Chpw Mcr Adv	$531	16%
Aetna	$565 - $651	17%
Medicare (plans)	$565	17%
Molina Mcr Adv	$565	17%
Molina Marketplace-All Other Plans	$614	18%
Chpw Commercial-All Other Plans	$737	22%
Coord Care Comm/Exchge-All Other Plans	$786	24%
Regence-All Other Plans	$1,655	50%
Premera-All Plans	$1,876	56%
Cigna	$1,986	59%
Chpw Mcaid	$2,273	68%
Molina Mcaid	$2,273	68%
Amerigroup Mcaid-All Plans	$2,339	70%

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 $1,766.
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 Jefferson Healthcare 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.