CMS Price Transparency Data
Bunion correction surgery
Facility: Children's Hosp of Los Angeles
Billing Code: 28296 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 28296
- Insurance Median: $1,178
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 0.35x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Children's Hosp of Los Angeles is $1,178. 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 0.35x the Medicare baseline. Located in 4650 Sunset Blvd, Ms 108, Los Angeles, CA.
Cash / Self-Pay
Unavailable
Average discount available for prompt cash payment at this facility.
Insurance Median
$1,178
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: $1,178 (35%)
Ins. Median: $1,178 (35% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Altamed | $561 - $15,347 | 17% |
| Caloptima | $561 | 17% |
| Valley Presbyterian Hospital | $575 | 17% |
| Medi-Cal | $575 | 17% |
| Health Net | $718 | 21% |
| Choc Health Alliance | $718 | 21% |
| St Francis Medical Center | $747 - $1,109 | 22% |
| Health Care La IPA | $839 | 25% |
| Global Care Medical Group | $839 | 25% |
| El Proyecto Del Barrio | $839 | 25% |
| Centinela Valley IPA | $839 | 25% |
| Watts Healthcare Mmc | $839 | 25% |
| Premier Physicians Ntwk | $839 | 25% |
| Bella Vista Med Grp | $839 | 25% |
| Community Family Care IPA | $862 | 26% |
| Hollywood Presbyterian Medical Center | $862 | 26% |
| Heritage Provider Network | $919 - $17,858 | 27% |
| Blue Cross Blue Shield | $947 - $5,397 | 28% |
| La Care | $954 - $15,626 | 29% |
| Serra Community Med Clinic | $985 | 29% |
| Care 1St | $1,006 | 30% |
| White Memorial Medical Center | $1,006 | 30% |
| Adventist Health Physicians | $1,034 - $16,742 | 31% |
| Cal Care IPA | $1,046 | 31% |
| Associated Hispanic Physicians IPA | $1,063 | 32% |
| Gold Coast Health Plan | $1,063 | 32% |
| Serendib Healthways Mmc | $1,063 | 32% |
| Hispanic Physician IPA | $1,063 | 32% |
| Beverly Hospital | $1,069 | 32% |
| San Judas Med Grp | $1,075 | 32% |
| Los Angeles Medical Center IPA | $1,075 | 32% |
| Alhambra Hospital Medical Center | $1,080 | 32% |
| Accountable Health | $1,098 | 33% |
| Souther California Hosp System - Mmc | $1,102 | 33% |
| Cencal Health | $1,109 | 33% |
| Pacific Alliance Medical Center | $1,126 | 34% |
| Blue Shield | $1,137 - $4,848 | 34% |
| Point Comfort Underwriters | $1,149 | 34% |
| Seaside Health Plan | $1,149 | 34% |
| Crown City Medical Group | $1,149 | 34% |
| Employee Health Systems Med Grp | $1,149 | 34% |
| Angeles IPA | $1,149 | 34% |
| Imperial Health Holdings Medical Group | $1,172 | 35% |
| Regent Medical Group | $1,172 | 35% |
| Noble Community Medical Associates | $1,172 | 35% |
| Karing Physicians Medical Group | $1,172 | 35% |
| Exceptional Care Medical Group | $1,178 - $21,299 | 35% |
| Primary Care and Pediatric IPA | $1,178 | 35% |
| Mabuhay Medical Group | $1,178 | 35% |
| Preferred IPA | $1,178 | 35% |
| Avalon IPA | $1,178 | 35% |
| Inland Empire Health Plan | $1,184 | 35% |
| Molina | $1,212 | 36% |
| Family Care Specialists | $1,212 | 36% |
| Family Health Alliance Med Grp | $1,235 | 37% |
| Applecare Medical Group | $1,270 - $18,137 | 38% |
| Community Care IPA Mmc | $1,270 | 38% |
| Dignity Health | $1,276 | 38% |
| Allied Pacific IPA | $1,350 | 40% |
| California Pacific Physicians Medical Group | $1,368 | 41% |
| Asian Community Medical Group | $1,368 | 41% |
| Healthy New Life Medical Corp | $1,368 | 41% |
| Kern Family Health Plan | $1,448 | 43% |
| Superior Choice Medical Group | $1,557 | 47% |
| Southland San Gabriel Valley Medical Group | $1,569 | 47% |
| Cigna | $4,077 | 122% |
| Champus | $4,082 | 122% |
| UnitedHealthcare | $6,719 - $12,194 | 201% |
| Medicare (plans) | $9,132 | 273% |
| Accarent Health | $9,301 | 278% |
| Sierra Health and Life Insurance Company | $10,000 | 299% |
| Delta Health Systems | $11,564 | 346% |
| Incentive Health Network | $17,207 | 515% |
| Gemcare IPA | $17,858 | 534% |
| Managed Care Systems | $18,137 | 543% |
| Providence Health Network | $18,602 | 556% |
| Ventura County Health Plan | $23,718 | 710% |
| Staywell Insurance | $25,000 | 748% |
| Good Samaritan Medical Group | $25,578 | 765% |
| Access Medical Group | $25,857 | 773% |
| Seoul Medical Group | $28,554 | 854% |
| Southern Atlantic Medical Group Mmc | $30,721 | 919% |