CMS Price Transparency Data

Bunion correction surgery

Facility: Pullman Regional Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $2,066
  • Cash Discount Price: $1,849
  • vs. Medicare Baseline: 0.62x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Pullman Regional Hospital is $2,066. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,849. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.62x the Medicare baseline. Located in 835 S Bishop Blvd, Pullman, WA.
Cash / Self-Pay
$1,849

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,066

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: $1,849 (55%)
Insurance Median: $2,066 (62%)
Cash: $1,849 (55% of Medicare)
Ins. Median: $2,066 (62% 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
Community Care Ntwrk Mcare-All Plans $491 - $3,241 15%
Kaiser Mcare Advan $491 - $3,241 15%
Sterling Mcr Adv-All Plans $491 - $3,241 15%
Triwest - All Plans $491 - $3,241 15%
Wellcare Mcr Adv $535 - $3,533 16%
Blue Cross Blue Shield $565 - $8,797 17%
Humana $565 - $3,241 17%
Aetna $651 - $8,797 19%
Premera First - All Plans $681 - $6,760 20%
First Choice - All Other Plans $828 - $8,334 25%
First Choice Admin $828 - $7,640 25%
Idaho Dshs-All Plans $842 - $3,797 25%
Kaiser - All Other Plans $952 - $6,383 28%
Admin Wsu Student-All Plans $1,746 - $7,871 52%
Multiplan - All Plans $1,746 - $7,871 52%
Asuris Nw Hlth-All Plans $1,849 - $8,334 55%
Cigna $1,849 - $8,334 55%
Focus Hlthcare - All Plans $1,849 - $8,334 55%
Northwest One - All Plans $1,849 - $8,334 55%
UnitedHealthcare $1,849 - $8,334 55%
Great West Hlth-All Plans $1,951 - $8,797 58%
Integrated Hp - All Plans $1,951 - $8,797 58%
Spokane Phco - All Plans $1,951 - $8,797 58%
Provider Network Of America-All Plans $2,013 - $9,075 60%
Community Health Plan Mcaid-All Plans $2,054 - $3,353 61%
Medicaid / KanCare $2,054 - $3,353 61%
Molina Hlthcare Mcaid-All Plans $2,054 - $3,353 61%
Wellcare Mcaid -All Other Plans $2,054 - $3,353 61%
Wellpoint Mcaid - All Plans $2,054 - $3,353 61%
Single Case Agree - All Plans $6,760 202%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 835 S Bishop Blvd, Pullman, WA 99163
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Critical Access Hospitals