CMS Price Transparency Data

Bunion correction surgery

Facility: Sarasota Memorial Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $651
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.19x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Sarasota Memorial Hospital is $651. 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 0.19x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$651

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: $651 (19%)
Ins. Median: $651 (19% 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 $90 - $6,038 3%
Simply Healthcare Oncology $113 - $1,058 3%
Sunshine State Oncology $113 - $1,058 3%
Molina Oncology $116 - $1,088 3%
Amerihealth Caritas Oncology $118 - $1,108 4%
Community Care Plan Oncology $118 - $1,108 4%
Blue Cross Blue Shield $119 - $3,257 4%
UnitedHealthcare $140 - $8,956 4%
Florida Community Care Oncology $142 - $1,581 4%
Wellcare Oncology $146 - $1,367 4%
Simply Freedom Optimum Oncology $149 - $1,398 4%
Oscar Oncology $230 - $2,160 7%
Ambetter / Centene $1,370 - $8,794 41%
Careworks $2,452 - $5,996 73%
Enlyte $2,452 - $5,996 73%
Simply Freedom Optimum $3,420 102%
Wellcare $3,420 102%
Florida Community Care $3,583 - $4,184 107%
Simply Healthcare $3,804 - $3,994 114%
Sunshine State $3,994 119%
Molina $4,108 123%
Amerihealth Caritas $4,184 125%
Community Care Plan $4,184 125%
Oscar Health $6,934 207%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S Tamiami Trl, Sarasota, FL 34239
  • CMS Rating: ★★★★★
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals