CMS Price Transparency Data

Bunion correction surgery

Facility: Shands Jacksonville

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $3,759
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.12x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Shands Jacksonville is $3,759. 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 1.12x the Medicare baseline. Located in 655 W 8Th St, Jacksonville, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,759

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: $3,759 (112%)
Ins. Median: $3,759 (112% 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.

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
Aetna $3,246 - $4,260 97%
Ameri-Plus Preferred Care $3,417 102%
Blue Cross Blue Shield $3,417 102%
Capital Health Plan $3,417 102%
Humana $3,417 - $4,184 102%
Beacon Health Strategies $3,519 105%
Careplus Health Plan $3,519 105%
Florida Health Care Plan $3,519 - $5,862 105%
UnitedHealthcare $3,554 106%
Positive Healthcare Partners $3,583 - $3,759 107%
Devoted Health Plan $3,588 - $3,759 107%
Wellcare Of Florida $3,998 120%
Carelon Health $4,184 125%
Molina $4,234 - $4,565 127%
Florida Complete Care $4,271 128%
Florida Community Care $4,374 131%
Simply Healthcare $4,460 133%
Amerihealth Caritas Florida $4,565 137%
Community Care Plan $4,565 137%
Wellpath $5,374 161%
Ambetter / Centene $5,406 162%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 655 W 8Th St, Jacksonville, FL 32209
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals