CMS Price Transparency Data

Bunion correction surgery

Facility: Memorial Hospital of Carbon County

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $369
Cash Discount Price: $1,569
vs. Medicare Baseline: 0.11x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Memorial Hospital of Carbon County is $369. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,569. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.11x the Medicare baseline. Located in 2221 West Elm Street, Rawlins, WY.

Cash / Self-Pay

$1,569

Average discount available for prompt cash payment at this facility.

Insurance Median

$369

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: $1,569 (47%)

Insurance Median: $369 (11%)

Cash: $1,569 (47% of Medicare)

Ins. Median: $369 (11% 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
Three_River_Providers_Network	$285 - $2,852	9%
Wise_Provider_Networks	$285 - $2,852	9%
Zelis	$285 - $2,852	9%
Corechoice	$342 - $3,423	10%
First_Choice_Health	$342 - $3,423	10%
Blue Cross Blue Shield	$350 - $3,499	10%
Cigna	$353 - $3,537	11%
UnitedHealthcare	$365 - $3,651	11%
Interwests_Ppo_Network	$369 - $3,689	11%
Multiplan	$369 - $3,689	11%

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 $1,569.
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 Memorial Hospital of Carbon County 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.