CMS Price Transparency Data

Bunion correction surgery

Facility: Adventist Health Tehachapi Valley

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $584
Cash Discount Price: $492
vs. Medicare Baseline: 0.17x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Adventist Health Tehachapi Valley is $584. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $492. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.17x the Medicare baseline. Located in 1100 Magellan, Tehachapi, CA.

Cash / Self-Pay

$492

Average discount available for prompt cash payment at this facility.

Insurance Median

$584

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: $492 (15%)

Insurance Median: $584 (17%)

Cash: $492 (15% of Medicare)

Ins. Median: $584 (17% 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
Healthnet Mcare	$497	15%
Tricare	$497	15%
UnitedHealthcare	$497 - $675	15%
Universal Ipa Mcr Adv Op/Profee Only-All Other Pla	$497	15%
Aetna	$498	15%
Network Providers- All Plans	$542	16%
Ah Employee Health Plan - All Plans	$546	16%
Oscar Health Plan- All Plans	$571	17%
Coventry- All Plans	$596	18%
Cigna	$601	18%
Western Grwrs/Pinnacle - All Plans	$691	21%
Healthnet- All Other Plans	$724	22%
Centivo - All Plans	$745	22%
Blue Shield Epn- All Other Plans	$1,028	31%
Blue Shield Non-Epn	$1,086	32%
Blue Cross Blue Shield	$1,412	42%

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 $492.
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 Adventist Health Tehachapi Valley 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.