CMS Price Transparency Data

Bunion correction surgery

Facility: NYU Langone Hospitals

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $6,187
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.85x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at NYU Langone Hospitals is $6,187. 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 1.85x the Medicare baseline. Located in 550 First Avenue, New York, NY.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,187

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: $6,187 (185%)
Ins. Median: $6,187 (185% 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 $1,431 - $6,187 43%
Amida $2,750 82%
Fidelis $2,750 - $6,187 82%
Healthplus $2,750 - $6,187 82%
Hip $2,750 - $8,427 82%
Medicaid / KanCare $2,750 82%
Metroplus $2,750 - $7,602 82%
UnitedHealthcare $2,750 - $10,978 82%
Somos $2,887 - $3,712 86%
Ghi $3,839 - $12,574 115%
Medicare (plans) $3,839 115%
Wellcare $3,839 115%
Centerlight $3,916 117%
Oscar $4,936 148%
1199 $6,022 - $7,084 180%
Cigna $6,487 194%
Oxford $6,953 - $9,645 208%
Hamaspik $7,679 230%
Aetna $10,024 300%
Blue Cross Blue Shield $10,869 - $13,586 325%
Magnacare $13,453 - $25,798 402%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 550 First Avenue, New York, NY 10016
  • CMS Rating: ★★★★★
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals