CMS Price Transparency Data

Bunion correction surgery

Facility: Cody Regional Health

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $2,380
Cash Discount Price: $2,247
vs. Medicare Baseline: 0.71x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Cody Regional Health is $2,380. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,247. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.71x the Medicare baseline. Located in 707 Sheridan Avenue, Cody, WY.

Cash / Self-Pay

$2,247

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,380

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: $2,247 (67%)

Insurance Median: $2,380 (71%)

Cash: $2,247 (67% of Medicare)

Ins. Median: $2,380 (71% 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
Mountain Health - All Plans	$477	14%
Tricare	$477	14%
Medica Comm - All Other Plans	$502	15%
Pacific Source - All Plans	$844	25%
Blue Cross Blue Shield	$2,095 - $2,512	63%
Christian Hlthcare - All Plans	$2,115	63%
Cigna	$2,380	71%
First Choice Health - All Plans	$2,380	71%
Humana	$2,380	71%
Interwest Health Ppo - All Plans	$2,432	73%
First Health Ntwrk-All Plans	$2,459	74%
Three Rivers - All Plans	$2,512	75%
UnitedHealthcare	$2,512	75%

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 $2,247.
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 Cody Regional Health 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.