CMS Price Transparency Data

Bunion correction surgery

Facility: HCA Florida Lawnwood Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $5,680
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.70x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at HCA Florida Lawnwood Hospital is $5,680. 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 1.70x the Medicare baseline. Located in 1700 S 23Rd St, Fort Pierce, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,680

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: $5,680 (170%)
Ins. Median: $5,680 (170% 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
Cigna $1,671 - $15,153 50%
Freedom Health $2,350 - $4,575 70%
Optimum $2,350 - $4,575 70%
Corvel Corporation $2,355 - $5,758 70%
Careworks (Rockport) $2,405 - $5,879 72%
Prime Health $2,405 - $5,879 72%
Simply Healthcare Plans $3,792 113%
Molina $3,950 - $5,211 118%
Health Sun Health Plan $4,200 126%
Avmed $4,281 128%
Blue Cross Blue Shield $4,765 - $24,677 143%
Pinnacol Workers Comp $4,981 149%
Aetna $5,079 - $7,698 152%
Multiplan $5,190 155%
United $5,339 - $33,200 160%
Sunshine State Health Plan $6,625 198%
Rocky Mountain Health Plan $9,421 282%
Oscar $12,772 382%
Simply Healthcare $13,422 402%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 S 23Rd St, Fort Pierce, FL 34950
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals