CMS Price Transparency Data

Bunion correction surgery

Facility: Nassau University Medical Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $1,633
Cash Discount Price: $2,387
vs. Medicare Baseline: 0.49x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Nassau University Medical Center is $1,633. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,387. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.49x the Medicare baseline. Located in 2201 Hempstead Turnpike, East Meadow, NY.

Cash / Self-Pay

$2,387

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,633

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: $2,387 (71%)

Insurance Median: $1,633 (49%)

Cash: $2,387 (71% of Medicare)

Ins. Median: $1,633 (49% 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
Blue Cross Blue Shield	$503 - $3,840	15%
Molina Healthcare (Fka Affinity)	$503	15%
Aetna	$572 - $3,840	17%
Centers Plan For Healthy Living	$592 - $3,840	18%
Fidelis Care	$592 - $4,108	18%
Humana	$854 - $3,840	26%
Emblemhealth	$1,036 - $3,648	31%
1199Seiu National Benefit Funds	$2,070	62%
UnitedHealthcare	$3,840	115%

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 $2,387.
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 Nassau University 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.