CMS Price Transparency Data

Bunion correction surgery

Facility: Incline Village Community Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $2,140
Cash Discount Price: $3,381
vs. Medicare Baseline: 0.64x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Incline Village Community Hospital is $2,140. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,381. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.64x the Medicare baseline. Located in 880 Alder Street, Incline Village, NV.

Cash / Self-Pay

$3,381

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,140

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: $3,381 (101%)

Insurance Median: $2,140 (64%)

Cash: $3,381 (101% of Medicare)

Ins. Median: $2,140 (64% 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
Medicare (plans)	$480	14%
Blue Cross Blue Shield	$548 - $4,057	16%
Ca Hlth And Wellness - All Plans	$559	17%
Healthnet - All Plans	$648	19%
UnitedHealthcare	$738	22%
Aetna	$1,983 - $3,967	59%
Prominence Healthfirst - All Plans	$1,983 - $3,967	59%
Admar Multiplan - All Plans	$2,028 - $4,057	61%
First Health - All Plans	$2,028 - $4,057	61%
Great West/One Health - All Plans	$2,028 - $4,057	61%
Hometown Hp - All Plans	$2,028 - $4,057	61%
Humana	$2,028 - $4,057	61%
Interplan - All Plans	$2,028 - $4,057	61%
Multiplan - All Plans	$2,028 - $4,057	61%
Phcs - All Plans	$2,028 - $4,057	61%
Cigna	$2,073 - $4,147	62%
Beech Street/Capp Care - All Plans	$2,140 - $4,283	64%
Uhn - All Plans	$2,140 - $4,283	64%
Sierra Health - All Plans	$2,185 - $4,373	65%

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 $3,381.
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 Incline Village Community 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.