CMS Price Transparency Data

Bunion correction surgery

Facility: Jacobi Medical Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $3,349
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.00x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Jacobi Medical Center is $3,349. 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 1.00x the Medicare baseline. Located in 1400 Pelham Parkway South, Bronx, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,349

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: $3,349 (100%)
Ins. Median: $3,349 (100% 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
Healthfirst $474 - $5,653 14%
Aetna $520 - $2,489 16%
Wellcare $639 19%
Fidelis $852 - $5,653 25%
Metroplus $1,200 - $5,653 36%
Amidacare $2,513 75%
Blue Cross Blue Shield $2,513 - $5,653 75%
Carelon $2,513 - $7,452 75%
Senior Whole Health $2,513 75%
United $2,513 - $4,660 75%
United Behavioral Health $2,513 - $2,764 75%
Affinity $2,563 - $5,653 77%
Carelon (Amida Care) $2,563 77%
Vnsny $2,563 - $3,840 77%
Local 1199 $2,666 80%
Emblem $3,141 - $4,821 94%
Oxford $3,326 - $3,773 99%
Elderplan $3,840 115%
Vaccn $3,840 115%
Centers Plan For Healthy Living $3,993 119%
Cigna $4,285 128%
Oscar $4,454 133%
Centerlight $5,732 171%
Magnacare $8,598 257%
Multiplan $9,172 274%
Villagecare Max $9,745 292%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1400 Pelham Parkway South, Bronx, NY 10461
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Government - Local
  • Hospital Type: Acute Care Hospitals