CMS Price Transparency Data
Bunion correction surgery
Facility: Uc San Diego Health Hillcrest - Hillcrest Med Ctr
Billing Code: 28296 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 28296
- Insurance Median: $11,865
- Cash Discount Price: $27,877
- vs. Medicare Baseline: 3.55x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Uc San Diego Health Hillcrest - Hillcrest Med Ctr is $11,865. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27,877. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 3.55x the Medicare baseline. Located in 200 West Arbor Drive, San Diego, CA.
Cash / Self-Pay
$27,877
Average discount available for prompt cash payment at this facility.
Insurance Median
$11,865
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: $27,877 (834%)
Insurance Median: $11,865 (355%)
Cash: $27,877 (834% of Medicare)
Ins. Median: $11,865 (355% 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.
Elevated Commercial Rate Alert (Value-Gap)
The negotiated rate at this facility is 355% of the Medicare baseline (a markup of 255%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.
Out-of-Pocket Cost Estimator
Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.
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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 Health Group [1022] | $90 | 3% |
| Health Net [1039] | $94 - $32,945 | 3% |
| Alameda Alliance For Health [2027] | $575 | 17% |
| Alignment Health Plan [2020] | $575 | 17% |
| Blue Cross Blue Shield | $575 - $29,721 | 17% |
| Brand New Day [1089] | $575 | 17% |
| California Department Of Public Health [1237] | $575 | 17% |
| California Health & Wellness Medi-Cal [1122] | $575 | 17% |
| Cms - County Medical Services [1025] | $575 - $32,945 | 17% |
| Community Care Ipa [1131] | $575 | 17% |
| Federal Prison [1031] | $575 | 17% |
| Gold Coast Health Plan [2031] | $575 | 17% |
| Health Plan Of San Joaquin [2032] | $575 | 17% |
| Hemet Community Med Grp - Promisecare [1040] | $575 | 17% |
| Imperial Health Holdings [1132] | $575 | 17% |
| Kern Health Systems [2033] | $575 | 17% |
| La Care Health Plan [2025] | $575 | 17% |
| Medicaid / KanCare | $575 | 17% |
| Regal Mg 'Heritage Provider Network' [2019] | $575 | 17% |
| San Diego County [1071] | $575 - $25,342 | 17% |
| Sd Physicians Med Grp [1076] | $575 - $32,945 | 17% |
| State Of California [1082] | $575 | 17% |
| UnitedHealthcare | $575 - $35,479 | 17% |
| Unlisted Mcal Hmo Non-Contract [1049] | $575 | 17% |
| Inland Empire Health Plan Transplant [1126] | $804 | 24% |
| Inland Empire Health Plan [1121] | $804 | 24% |
| Cal Optima [1016] | $833 | 25% |
| Champva [1020] | $1,027 | 31% |
| Mid County Physicians Med Grp [1054] | $1,027 | 31% |
| Alternate Scan Health [2088] | $4,123 | 123% |
| Molina [1055] | $4,123 | 123% |
| Pace [2044] | $4,123 | 123% |
| San Diego Pace [2046] | $4,123 | 123% |
| Scan Health [1072] | $4,123 | 123% |
| Aetna | $6,082 - $25,646 | 182% |
| Cigna | $6,082 - $30,411 | 182% |
| Humana | $6,082 - $43,082 | 182% |
| Mc Blue Shield Generic Payor [164016] | $6,082 | 182% |
| Mc Blue Shield Hmo [164015] | $6,082 | 182% |
| Mc Brand New Day Generic Payor [164031] | $6,082 | 182% |
| Mc Brand New Day Hmo [164030] | $6,082 | 182% |
| Mc Healthnet Generic Payor [164010] | $6,082 | 182% |
| Mc Healthnet Hmo [164004] | $6,082 | 182% |
| Mc Hnet Blue&Gold Aco [164017] | $6,082 | 182% |
| Mc Scan Generic Payor [164034] | $6,082 | 182% |
| Mc Scan Hmo [164035] | $6,082 | 182% |
| Uc Aff Blue Shield Sr/Sdsm [164037] | $6,082 | 182% |
| Padres Workers Compensation [2013] | $8,160 | 244% |
| Padres [2014] | $8,160 | 244% |
| Blue Shield [1014] | $9,258 - $21,500 | 277% |
| Ucr Prompt Pay Payor [8240] | $10,289 | 308% |
| Alternate Blue Shield [2002] | $11,865 | 355% |
| Blue Shield Transplants [1113] | $11,865 | 355% |
| Alternate Healthnet [1007] | $17,588 - $24,582 | 526% |
| Multicultural Med Grp [1057] | $18,399 | 550% |
| Elizabeth Hospice [2018] | $20,274 | 606% |
| Scripps Clinic [1073] | $20,274 - $30,411 | 606% |
| Blue Shield Promise [1017] | $22,808 | 682% |
| Alternate Health Net Bh [2059] | $24,582 | 735% |
| Healthnet Transplants [1114] | $24,582 | 735% |
| Usoc - Us Olympic Committee [1123] | $25,038 | 749% |
| Global Excel [1036] | $25,342 | 758% |
| Sharp Health Plan [1079] | $25,342 - $25,596 | 758% |
| Graybill Med Grp [1037] | $25,596 | 766% |
| Sharp Community Med Grp [1078] | $25,596 | 766% |
| Sharp Rees Stealy [1080] | $25,596 | 766% |
| Olympus Managed Healthcare Inc [1102] | $25,646 | 767% |
| Scripps Health Plan Services [1075] | $30,411 | 910% |
| Vantage [1092] | $30,411 | 910% |
| Alternate Sheriff Custody [1106] | $32,945 | 986% |
| Arch Health Partners [2000] | $32,945 | 986% |
| Axa Assistance [1098] | $32,945 | 986% |
| Cassidy Med Grp [1019] | $32,945 | 986% |
| Cmn - Canadian Medical Network [1024] | $32,945 | 986% |
| Ets - Lifetrac Network [1103] | $32,945 | 986% |
| Health Net Bh (Mhn) [1038] | $32,945 | 986% |
| Health Net Bh (Mhn) [2010] | $32,945 | 986% |
| Interlink Health Services Transplant [1124] | $32,945 | 986% |
| Interlink Health Transplant [2085] | $32,945 | 986% |
| Mgm Resorts [1053] | $32,945 | 986% |
| National Healthcare Solutions Inc [1100] | $32,945 | 986% |
| Quality Health [1069] | $32,945 | 986% |
| San Diego County Sheriff Custody [2012] | $32,945 | 986% |
| Scripps Coastal Med Grp [1074] | $32,945 | 986% |
| Tri-City [1085] | $32,945 | 986% |
| Kaiser [1046] | $33,959 | 1016% |
| Embassy Sponsored [1101] | $34,466 - $35,479 | 1031% |
| Interplan [1045] | $35,479 | 1061% |
| Mercy Physicians Med Grp [1052] | $35,479 | 1061% |
| Pacific Foundation [1063] | $35,479 | 1061% |
| Beech Street [1012] | $38,013 | 1137% |
| First Health [1032] | $38,013 | 1137% |
| Admar [1001] | $39,027 | 1167% |
| Bps - Benefit Plan Services [1015] | $39,027 | 1167% |
| Multiplan [1058] | $39,027 | 1167% |
| Private Healthcare Systems [1067] | $39,027 - $50,685 | 1167% |
| Carnival Cruises [1018] | $40,548 | 1213% |
| Alternate Kaiser Rad Onc [2089] | $50,685 | 1516% |
| Sharp Healthcare Transplant [1119] | $68,424 | 2047% |