CMS Price Transparency Data
Bunion correction surgery
Facility: Monterey Park Hospital
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 Monterey Park Hospital 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 900 S Atlantic Blvd, Monterey Park, 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 |
|---|---|---|
| Access Ipa Ancillary | $401 - $553 | 12% |
| Accountable Ipa | $401 | 12% |
| Allied Physicians | $401 - $6,313 | 12% |
| Alta Med Health Services Corp | $401 - $12,500 | 12% |
| Altamed Health Network | $401 - $4,141 | 12% |
| Applecare Medical Group | $401 - $3,367 | 12% |
| Assess Ipa | $401 | 12% |
| Associated Hispanic Physicians Ancillary | $401 - $430 | 12% |
| Beverly Hospital | $401 - $4,629 | 12% |
| Blue Cross Blue Shield | $401 - $7,966 | 12% |
| Brand New Day | $401 - $5,260 | 12% |
| Care 1St Mcl/Gar Cap | $401 | 12% |
| Community Health Plan | $401 | 12% |
| Esperanza Medical Group Ipa | $401 | 12% |
| Family Health Alliance Medical Group | $401 - $1,400 | 12% |
| Health Net Medi Cal | $401 | 12% |
| Healthnet Inc | $401 | 12% |
| Healthy Way La | $401 | 12% |
| La Care | $401 - $4,208 | 12% |
| La Care Health Plan | $401 - $461 | 12% |
| Medical Managed Care Program | $401 | 12% |
| Molina Healthcare | $401 | 12% |
| Other Non-Contracted Medi-Cal | $401 | 12% |
| Preferred Ipa | $401 - $5,260 | 12% |
| Preferred Ipa Of California | $401 | 12% |
| Alhambra Community Dialysis Unit Inc | $517 | 15% |
| Aetna | $530 - $4,141 | 16% |
| Central Health Plan Of California | $553 | 17% |
| Aids Health Foundation | $575 - $4,141 | 17% |
| Bella Vista Medical Group Ancillary | $575 | 17% |
| Central Health Plan | $575 | 17% |
| Emanate Health | $575 - $5,260 | 17% |
| Maxi Med Inc/Ipa | $575 - $4,208 | 17% |
| Medi Cal | $575 | 17% |
| Pacific Independent Physician Association | $575 - $1,400 | 17% |
| One Health Plan | $610 | 18% |
| Caloptima Direct | $845 | 25% |
| Health Net | $866 - $4,141 | 26% |
| Allied Physicians Ipa | $1,100 | 33% |
| Tenet Reciprocity | $1,200 | 36% |
| Universal Care | $1,250 | 37% |
| Choice Care Network | $2,090 | 63% |
| Molina Medical Centers | $2,091 | 63% |
| Healthnet | $2,155 | 64% |
| Blue Shield Of California | $2,441 - $8,395 | 73% |
| Asi Flex Ppo W/C | $2,500 | 75% |
| Veterans Administration | $2,946 | 88% |
| Bella Vista Medical Group | $3,367 | 101% |
| Senior Citizens Choice | $3,729 | 112% |
| Avanti | $3,788 - $5,050 | 113% |
| Hollywood Presbyterian Adv Med Mcal | $3,788 | 113% |
| Hollywood Presbyterian Medpoint Mcal | $3,788 | 113% |
| Ahmc Healthcare Inc | $4,141 - $4,208 | 124% |
| Apa/Aco Inc | $4,141 | 124% |
| Cms | $4,141 | 124% |
| Easy Choice Health Plan | $4,141 | 124% |
| First Health Senior | $4,141 | 124% |
| Foundation Health Plan | $4,141 | 124% |
| Health Net Inc | $4,141 - $14,742 | 124% |
| Humana | $4,141 | 124% |
| Medicare (plans) | $4,141 - $4,348 | 124% |
| Scan Health Plan | $4,141 | 124% |
| Secure Horizons | $4,141 | 124% |
| Ucla/Impact Cancer | $4,141 | 124% |
| UnitedHealthcare | $4,141 | 124% |
| Ahmc Reciprocity Agreement Senior/Commercial | $4,208 | 126% |
| Cv-19 Hrsa Uninsured Testing And Tx I/P And O/P | $4,208 | 126% |
| La Care Covered Direct | $4,208 | 126% |
| Self-Pay | $4,208 | 126% |
| Molina Healthcare Medi-Connect | $4,348 | 130% |
| San Miguel Health Plan | $4,629 | 138% |
| Care 1St M Cal | $5,000 | 150% |
| Garfield Medical Center | $5,000 | 150% |
| Preferred Health Network | $5,170 | 155% |
| Ahmc Health Epo | $5,260 | 157% |
| Knox-Keene Act | $5,260 | 157% |
| Molina Healthcare Of California | $5,260 | 157% |
| Interplan | $5,278 | 158% |
| Athens Administrators | $5,442 | 163% |
| Indemnity W Comp Fee Schedule | $5,442 | 163% |
| Multiplan | $5,442 | 163% |
| Alignment Health Plan | $5,590 | 167% |
| Health Net Of California | $12,532 | 375% |
| Pacificare | $22,113 - $27,757 | 661% |
| Corvel Corporation | $40,000 | 1197% |