CMS Price Transparency Data

Bunion correction surgery

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $3,804
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.14x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Baptist Health Medical Center - Jacksonville is $3,804. 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 1.14x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,804

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: $3,804 (114%)
Ins. Median: $3,804 (114% 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
Corvel $2,332 70%
Community Hospice Of Northeast Florida $3,245 - $3,257 97%
Pace $3,245 - $3,257 97%
Tomorrow'S Rainbow $3,245 - $3,257 97%
Va Ccn $3,245 - $3,257 97%
UnitedHealthcare $3,277 - $3,289 98%
Aetna $3,310 - $4,565 99%
Florida Community Care $3,407 - $4,184 102%
Devoted $3,439 - $3,452 103%
Upmc $3,569 - $3,583 107%
Amerigroup Of Georgia $3,804 114%
Caresource Of Georgia $3,804 114%
Daniel Memorial $3,804 114%
Humana $3,804 - $4,184 114%
Peach State Health Plan $3,804 114%
Simply Healthcare Plans $3,994 - $4,565 119%
Simply Healthcare Plans - Cha $3,994 119%
Amerihealth Caritas $4,184 125%
Sunshine State Health Plan $4,184 125%
United Community Plan $4,184 125%
Vivida Health $4,184 125%
Molina Healthcare Of Florida $4,527 135%
Ambetter / Centene $7,787 - $7,816 233%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 800 Prudential Dr, Jacksonville, FL 32207
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals