CMS Price Transparency Data
Bunion correction surgery
Facility: University Medical Center
Billing Code: 28296 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 28296
- Insurance Median: $974
- Cash Discount Price: $1,011
- vs. Medicare Baseline: 0.29x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at University Medical Center is $974. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,011. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.29x the Medicare baseline. Located in 1800 W Charleston Blvd, Las Vegas, NV.
Cash / Self-Pay
$1,011
Average discount available for prompt cash payment at this facility.
Insurance Median
$974
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: $1,011 (30%)
Insurance Median: $974 (29%)
Cash: $1,011 (30% of Medicare)
Ins. Median: $974 (29% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Advantra Freedom | $449 - $3,586 | 13% |
| Aetna | $449 - $6,275 | 13% |
| Ambetter / Centene | $495 - $5,558 | 15% |
| Molina | $495 - $5,307 | 15% |
| Sierra Health And Life | $495 - $4,124 | 15% |
| Allwell | $504 - $3,586 | 15% |
| Arroweye Solutions | $504 - $1,925 | 15% |
| Blue Cross Blue Shield | $504 - $4,142 | 15% |
| Caesar'S Entertainment | $504 - $3,010 | 15% |
| City Of Henderson | $504 - $3,010 | 15% |
| City Of North Las Vegas | $504 - $3,010 | 15% |
| Clark County Epo | $504 - $3,010 | 15% |
| Clark County Self Funded | $504 - $3,010 | 15% |
| Dignity Health | $504 - $1,925 | 15% |
| Golden Entertainment | $504 - $1,925 | 15% |
| Golden Nugget Hotel & Casino | $504 - $1,925 | 15% |
| Healthcare Partners Of Nevada | $504 - $3,586 | 15% |
| Las Vegas Metro Police Dept | $504 - $3,010 | 15% |
| Las Vegas Sand Corps | $504 - $1,780 | 15% |
| Marshall Retail Group | $504 - $1,925 | 15% |
| Mgm Grand | $504 - $3,010 | 15% |
| Mirage Las Vegas | $504 - $3,010 | 15% |
| Operating Engineers | $504 - $4,142 | 15% |
| P3 Health Partners | $504 - $1,925 | 15% |
| P3 Health Partners Nevada | $504 - $3,586 | 15% |
| Pli Las Vegas | $504 - $1,925 | 15% |
| Rebel Oil Company | $504 - $1,925 | 15% |
| Resorts World Las Vegas | $504 - $3,010 | 15% |
| Selecthealth | $504 - $5,307 | 15% |
| State Of Nevada | $504 - $1,925 | 15% |
| Stations Casinos | $504 - $1,925 | 15% |
| Teacher'S Health Trust | $504 - $1,925 | 15% |
| Truline Corporation | $504 - $1,925 | 15% |
| UnitedHealthcare | $504 - $3,586 | 15% |
| Va Pc3 (Va Choice) | $504 - $3,586 | 15% |
| Venetian/Palazzo | $504 - $1,925 | 15% |
| Wynn Resorts | $504 - $3,010 | 15% |
| Alignment Health | $529 - $3,586 | 16% |
| Scan | $529 - $3,586 | 16% |
| Clark County Firefighters 1908 | $560 - $3,010 | 17% |
| Coventry | $560 - $3,234 | 17% |
| Employee Painters Trust | $560 - $3,010 | 17% |
| Geha | $560 - $1,271 | 17% |
| Mail Handlers Benefit Plan | $560 - $3,234 | 17% |
| Nevada Energy | $560 - $3,234 | 17% |
| First Health | $565 - $4,148 | 17% |
| Health Net | $565 - $10,668 | 17% |
| Three Rivers Provider Network | $565 - $4,148 | 17% |
| Boyd Group | $576 - $3,010 | 17% |
| Bricklayers Local 13 | $576 - $3,010 | 17% |
| California Ironwork Field Welfare | $576 - $4,142 | 17% |
| Electrical Workers | $576 - $3,010 | 17% |
| Laborers Health And Welfare | $576 - $3,010 | 17% |
| Plumbers & Pipefitters Loc 525 | $576 - $3,010 | 17% |
| Sheet Metal Workers | $576 - $4,142 | 17% |
| So Ca Pipe Trades H&W | $576 - $4,142 | 17% |
| Southwest Carpenters H&W | $576 - $4,142 | 17% |
| Teamsters Local 14 | $576 - $3,010 | 17% |
| Teamsters Local 631 | $576 - $3,010 | 17% |
| Teamsters Local 986 | $576 - $3,010 | 17% |
| Ufcw Local 711 Retail Clerks | $576 - $3,010 | 17% |
| Culinary Workers Hwf | $620 - $3,010 | 19% |
| Aig | $628 - $2,559 | 19% |
| Beech Street | $628 - $2,559 | 19% |
| Cement Masons & Plasters H&W | $628 - $3,010 | 19% |
| Laughlin Coalition | $700 - $4,895 | 21% |
| Hometown Health Plan Nevada | $756 - $1,271 | 23% |
| Jw Marriott | $756 - $28,440 | 23% |
| Nevada Preferred Professionals | $756 - $7,172 | 23% |
| One Health Plan | $756 - $2,470 | 23% |
| Prominence Health Plan | $756 - $7,172 | 23% |
| Universal Health Network (Uhn) | $756 - $7,172 | 23% |
| Health Direct Partners | $832 - $5,773 | 25% |
| Zuffa | $1,077 - $7,531 | 32% |
| Cigna | $1,089 - $7,128 | 33% |
| Cirque De Soleil | $1,089 - $7,128 | 33% |
| Great West Healthcare | $1,089 - $7,128 | 33% |
| Kaiser | $1,089 - $7,128 | 33% |
| National Security Technologies | $1,089 - $7,128 | 33% |
| American Postal Workers Health Plan | $1,780 | 53% |
| Surest | $1,780 | 53% |
| Hometown Health Plan Of Nevada | $2,470 | 74% |
| Las Vegas Firefighters 1285 | $3,010 | 90% |
| Nevada Hand | $3,010 | 90% |
| Switch | $3,010 | 90% |
| Clark County Detention Center | $3,765 | 113% |