CMS Price Transparency Data

Bunion correction surgery

Facility: Mountainview Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $3,076
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.92x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Mountainview Hospital is $3,076. 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 0.92x the Medicare baseline. Located in 3100 N Tenaya Way, Las Vegas, NV.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,076

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: $3,076 (92%)

Ins. Median: $3,076 (92% 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
Community Care Health	$1,059	32%
Molina Healthcare	$1,059 - $1,101	32%
Sierra Hpn	$1,059	32%
Caresource	$1,101	33%
Corvel	$1,738	52%
Olympus Medsave Usa	$1,830	55%
United	$2,052 - $3,180	61%
Hometown Health Providers	$2,253 - $2,619	67%
Sierra	$2,956	88%
Ambetter / Centene	$3,076	92%
Multiplan	$3,500	105%
Blue Cross Blue Shield	$3,671 - $4,589	110%
Health Services Coalition	$4,260	127%
Select Health	$4,882 - $5,307	146%
Cigna	$6,461	193%
Aetna	$14,480	433%

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 $X.
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 Mountainview Hospital 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.