CMS Price Transparency Data

Bunion correction surgery

Facility: Snoqualmie Valley Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $1,089
Cash Discount Price: $1,587
vs. Medicare Baseline: 0.33x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Snoqualmie Valley Hospital is $1,089. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,587. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.33x the Medicare baseline. Located in 9801 Frontier Ave Se, Snoqualmie, WA.

Cash / Self-Pay

$1,587

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,089

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: $1,587 (47%)

Insurance Median: $1,089 (33%)

Cash: $1,587 (47% of Medicare)

Ins. Median: $1,089 (33% 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
UnitedHealthcare	$933 - $982	28%
Amerigroup Wellpoint	$1,005	30%
Blue Shield Of Wa Regence Mcr Adv	$1,005	30%
Community Health Plan Of Wa	$1,005 - $1,025	30%
Medicare (plans)	$1,005	30%
Molina Healthcare Of Washington Mcr Adv	$1,005	30%
Molina Healthcare Of Washington	$1,025	31%
Aetna	$1,153 - $1,222	34%
Humana	$1,165	35%
Washington Coordinated Care	$1,177	35%
Blue Cross Blue Shield	$1,212	36%
Blue Shield Of Wa Regence	$1,219	36%
First Choice Health Network	$1,250	37%
Kaiser Foundation Health Plan Of The Northwest	$1,723	52%
Cigna	$2,189	65%

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 $1,587.
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 Snoqualmie Valley Hospital 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.