Bunion correction surgery
Facility: Montclair Hospital Medical Center
Billing Code: 28296 (CPT)
- CPT Billing Code: 28296
- Insurance Median: $4,188
- Cash Discount Price: $4,187
- vs. Medicare Baseline: 1.25x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Blue Shield Of Promise | $575 | 17% |
| Molina | $575 - $4,188 | 17% |
| Traditional Medi-Cal | $575 | 17% |
| Vantage Care | $575 - $4,188 | 17% |
| Blue Cross Blue Shield | $603 | 18% |
| Health Net Of Ca | $615 - $6,114 | 18% |
| Inland Empire Healthplan | $833 - $5,235 | 25% |
| Rios | $3,978 | 119% |
| Alignment | $4,188 | 125% |
| Central Health Plan | $4,188 | 125% |
| Choice Physicians Network | $4,188 | 125% |
| Citrus Valley Physicians Group | $4,188 | 125% |
| Elite Health Plan | $4,188 | 125% |
| Emanate Health | $4,188 - $8,375 | 125% |
| Epic Health Plan | $4,188 | 125% |
| Inland Empire Foundation For Medical Care | $4,188 | 125% |
| Medicare (plans) | $4,188 | 125% |
| Renal Payor Solution | $4,188 | 125% |
| Tricare | $4,188 | 125% |
| Brand New Day | $4,230 - $6,282 | 127% |
| Neighborhood | $4,271 | 128% |
| Imperial Health Plan Of Ca | $4,439 | 133% |
| Health Net Federal Services Prison (Cdcr) | $5,235 | 157% |
| Coventry Workers Compensation | $5,351 | 160% |
| Worker Compensation | $5,517 | 165% |
| Employer Direct Health Care | $5,863 | 175% |