CMS Price Transparency Data

Bunion correction surgery

Facility: Halifax Health Medical Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $3,550
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Halifax Health Medical Center is $3,550. 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 1.06x the Medicare baseline. Located in 303 N Clyde Morris Blvd, Daytona Beach, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,550

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: $3,550 (106%)
Ins. Median: $3,550 (106% 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
Embs $2,768 83%
Tricare $2,980 89%
Humana $3,159 - $6,481 94%
Aetna $3,257 - $6,704 97%
Americas Choice Provider Network $3,257 97%
Blue Cross Blue Shield $3,257 97%
Cigna $3,257 97%
Coventry $3,257 - $3,717 97%
Division Of The Blind $3,257 97%
Freedom Health $3,257 97%
Medicare (plans) $3,257 97%
Optimum Healthcare $3,257 97%
Sunshine State Health Plan $3,257 - $6,514 97%
UnitedHealthcare $3,257 - $3,717 97%
Wellcare $3,257 97%
Molina $3,322 - $3,717 99%
Devoted Health $3,387 101%
Independent Living Systems $3,420 - $3,902 102%
Longevity $3,420 102%
Prime Health Services $3,420 102%
Clear Spring Health Of Fl $3,550 106%
Hcra $3,717 111%
Medicaid / KanCare $3,717 111%
West Volusia $3,717 111%
Simply Healthcare Plans $3,902 117%
Caresource Network $4,088 122%
Evolutions $4,885 146%
Employers Health Network $6,514 195%
Fhcp $6,579 197%
Centivo $7,002 209%
Florida Healthcare $7,067 211%
Claimdoc $7,328 219%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals