CMS Price Transparency Data
Bunion correction surgery
Facility: Whittier Hospital Medical Center
Billing Code: 28296 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 28296
- Insurance Median: $4,141
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.24x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Whittier Hospital Medical Center is $4,141. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.24x the Medicare baseline. Located in 9080 Colima Rd, Whittier, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$4,141
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%)
Insurance Median: $4,141 (124%)
Ins. Median: $4,141 (124% 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
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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 |
|---|---|---|
| Aids Healthcare Foundation | $401 - $4,141 | 12% |
| Allied Physicians | $401 - $6,313 | 12% |
| Alta Med Health Network | $401 - $4,141 | 12% |
| Altamed Health Services Corporation | $401 | 12% |
| Beverly Hospital | $401 - $4,629 | 12% |
| Brand New Day | $401 - $5,176 | 12% |
| Emanate Health | $401 - $5,172 | 12% |
| Health Net | $401 - $4,141 | 12% |
| Healthy Way La | $401 | 12% |
| Heritage Provider Network | $401 - $5,681 | 12% |
| Kaiser Foundation | $401 - $14,729 | 12% |
| La Care Healthy Families/Healthy Kids | $401 | 12% |
| Non Contracted Medi-Cal | $401 | 12% |
| Prospect Health Plan | $401 - $6,733 | 12% |
| Synermed | $401 - $4,208 | 12% |
| La Care Health Plan | $461 - $4,141 | 14% |
| Central Health Plan Of California | $545 | 16% |
| Caloptima | $561 - $4,141 | 17% |
| Monarch Healthplan | $561 | 17% |
| Care First Health Plan | $575 | 17% |
| County Of Los Angeles Dept Of Health Services | $575 | 17% |
| Medi Caid/ Medi Cal | $575 | 17% |
| Applecare Medical Group | $625 | 19% |
| Aetna | $655 - $6,004 | 20% |
| Medicare (plans) | $727 - $4,347 | 22% |
| Health Net Inc | $866 - $10,811 | 26% |
| Universal Care | $1,020 - $1,100 | 31% |
| Pacific Independent Physician Association | $1,400 | 42% |
| Capnet | $2,000 | 60% |
| Edward Medical Group | $2,000 | 60% |
| Molina Medical Center | $2,140 - $5,260 | 64% |
| Alignment Health Plan | $2,448 | 73% |
| Great-West Healthcare Of California | $2,500 | 75% |
| Prohealth | $2,500 | 75% |
| Care 1St Health Plan | $2,600 - $5,500 | 78% |
| UnitedHealthcare | $2,600 - $10,395 | 78% |
| Blue Cross Blue Shield | $2,696 - $8,557 | 81% |
| Cost Containment | $2,800 | 84% |
| Veterans Administration | $2,946 | 88% |
| Avanti | $3,788 - $5,050 | 113% |
| Hollywood Presbyterian Adv Med Mcal | $3,788 | 113% |
| Hollywood Presbyterian Medpoint Mcal | $3,788 | 113% |
| Ahmc Reciprocity | $4,141 - $4,208 | 124% |
| Alta Los Angeles Hospitals Inc | $4,141 | 124% |
| Apa/Aco Inc | $4,141 | 124% |
| Central Health Plan | $4,141 | 124% |
| Easy Choice Health Plan | $4,141 | 124% |
| Humana | $4,141 | 124% |
| Pacificare Of California | $4,141 | 124% |
| Scan Health Plan | $4,141 | 124% |
| Ahmc Medi-Cal Reciprocity Agreement | $4,208 | 126% |
| Ahmc Reciprocity Agreement Senior/Commercial | $4,208 | 126% |
| Blue Shield Of California | $4,208 - $8,241 | 126% |
| Caremore | $4,208 | 126% |
| Cov19 Hrsa Uninsured Testing And Treatment Fund | $4,208 | 126% |
| La Care Covered Direct | $4,208 | 126% |
| Pacific Alliance Medical Center | $4,208 | 126% |
| Private Pay | $4,208 | 126% |
| Self-Pay | $4,208 | 126% |
| Tricare | $4,208 | 126% |
| Molina Healthcare Of California | $4,348 | 130% |
| San Miguel Health Plan | $4,629 | 138% |
| Chinatown Service Center Pace | $5,050 | 151% |
| Ahmc Health | $5,260 | 157% |
| Knox-Keene Act | $5,260 | 157% |
| Fmc Los Angeles County | $5,317 | 159% |
| Interplan Health Group | $5,429 | 162% |
| Athens Administrators Ahmc Work Comp | $5,597 | 167% |
| Misc 1 | $5,597 | 167% |
| Multiplan Wc | $5,597 | 167% |
| Healthnet | $10,487 - $12,629 | 314% |