CMS Price Transparency Data

Bunion correction surgery

Facility: HCA Florida Aventura Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $6,152
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.84x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at HCA Florida Aventura Hospital is $6,152. 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 1.84x the Medicare baseline. Located in 20900 Biscayne Blvd, Aventura, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,152

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: $6,152 (184%)
Ins. Median: $6,152 (184% 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
Optimum $2,350 - $4,575 70%
Corvel Corporation $2,464 - $6,025 74%
Careworks (Rockport) $2,516 - $6,152 75%
Prime Health $2,516 - $6,152 75%
Simply Healthcare Plans $3,792 113%
Aids Healthcare $3,950 118%
Molina $3,950 - $5,211 118%
Medica Healthcare $4,150 124%
Avmed $4,175 - $9,160 125%
Health Sun Health Plan $4,200 126%
Freedom Health $4,575 137%
Mmm Of Fl (Health Advantage Plan) $4,750 142%
Sunshine State Health Plan $4,963 148%
Cigna $6,802 203%
Simply Healthcare $7,583 227%
Oscar $8,392 251%
Amerihealth Caritas $9,539 285%
United $10,100 302%
Blue Cross Blue Shield $13,617 - $18,507 407%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 20900 Biscayne Blvd, Aventura, FL 33180
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals