CMS Price Transparency Data

Bunion correction surgery

Facility: Sunrise Hospital and Medical Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $803
Cash Discount Price: $2,965
vs. Medicare Baseline: 0.24x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Sunrise Hospital and Medical Center is $803. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,965. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.24x the Medicare baseline. Located in 3186 S Maryland Pkwy, Las Vegas, NV.

Cash / Self-Pay

$2,965

Average discount available for prompt cash payment at this facility.

Insurance Median

$803

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%)

Cash / Self-Pay: $2,965 (89%)

Insurance Median: $803 (24%)

Cash: $2,965 (89% of Medicare)

Ins. Median: $803 (24% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Amerigroup	$324 - $600	10%
Health Plan Nevada	$324 - $630	10%
Molina	$340 - $662	10%
Silver Summit	$340 - $1,059	10%
Humana	$363 - $3,466	11%
Community Care Health	$494 - $1,059	15%
Healthcare Partners Of Nv	$494 - $1,142	15%
Molina Healthcare	$494 - $1,101	15%
Sierra Hpn	$494 - $1,059	15%
Aetna	$504 - $14,273	15%
Alignment Health Plan	$504 - $847	15%
Blue Cross Blue Shield	$504 - $4,589	15%
United	$513 - $3,180	15%
Caremore	$529 - $889	16%
Hometown Health Providers	$580 - $2,619	17%
Culinary Health Fund	$611 - $1,271	18%
Sierra	$632 - $3,106	19%
Cigna	$638 - $6,461	19%
Multiplan	$667 - $3,500	20%
Select Health	$987 - $5,307	30%
Caresource	$1,101	33%
Corvel	$1,738 - $3,279	52%
Olympus Medsave Usa	$1,830 - $3,452	55%
Ambetter / Centene	$2,626 - $3,076	79%
Legacy Provider Network	$3,107	93%
Comp-Med Workers Comp	$3,348	100%
Health Services Coalition	$4,260	127%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $2,965.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 28296.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sunrise Hospital and Medical Center is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 28296.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.