CMS Price Transparency Data

Bunion correction surgery

Facility: HCA Florida Englewood Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $5,719
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.71x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at HCA Florida Englewood Hospital is $5,719. 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 1.71x the Medicare baseline. Located in 700 Medical Blvd, Englewood, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,719

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: $5,719 (171%)
Ins. Median: $5,719 (171% 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 Corporation $2,294 - $5,609 69%
Rockport Healthcare Group $2,294 - $5,609 69%
Prime Health $2,343 - $5,727 70%
Access 2 Healthcare Physicians Freedom Optimum Group Members $3,843 115%
Molina $3,950 - $5,711 118%
Simply Healthcare $3,950 - $8,417 118%
Access 2 Healthcare Physicians Freedom Health $4,575 137%
Access 2 Healthcare Physicians Optimum $4,575 137%
Freedom Health Care $4,575 137%
Optimum Healthcare $4,575 137%
Avmed $4,922 - $12,418 147%
Behealthy America $4,950 148%
United $7,558 226%
Cigna $8,253 247%
Truli $8,275 - $10,037 248%
Blue Cross Blue Shield $8,771 - $15,932 262%
Oscar $10,272 307%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 700 Medical Blvd, Englewood, FL 34223
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals