CMS Price Transparency Data

Bunion correction surgery

Facility: North Vista Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $3,559
  • Cash Discount Price: $3,559
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at North Vista Hospital is $3,559. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,559. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.06x the Medicare baseline. Located in 1409 East Lake Mead Blvd, North Las Vegas, NV.
Cash / Self-Pay
$3,559

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,559

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: $3,559 (106%)
Insurance Median: $3,559 (106%)
Cash: $3,559 (106% of Medicare)
Ins. Median: $3,559 (106% 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
Medicaid / KanCare $1,048 - $1,059 31%
Blue Cross Blue Shield $1,059 - $11,846 32%
Molina Healthcare $1,059 - $3,559 32%
Silver Summit $1,059 - $5,694 32%
Aetna $1,375 - $3,559 41%
Sierra Health $1,457 44%
Three Rivers $1,725 52%
Provider Select $1,760 53%
Worker Comp $1,778 53%
UnitedHealthcare $2,511 - $3,060 75%
Triwest $3,523 105%
Intermountain Healthcare (Hcp) $3,559 - $6,406 106%
Medicare (plans) $3,559 106%
Renal Payor Solutions $3,559 106%
Tricare $3,559 106%
Alignment $3,630 109%
Employer Direct Healthcare $4,983 149%
Imperial Insurance Companies $5,339 - $6,584 160%
Naphcare $5,516 165%
Health Services Coalition $6,762 202%
Nevada Health Partners $6,806 204%
6 Degrees Health $7,118 213%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1409 East Lake Mead Blvd, North Las Vegas, NV 89030
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals