CMS Price Transparency Data

Bunion correction surgery

Facility: HCA Florida Raulerson Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $5,309
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.59x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at HCA Florida Raulerson Hospital is $5,309. 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 1.59x the Medicare baseline. Located in 1796 Hwy 441 North, Okeechobee, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,309

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: $5,309 (159%)
Ins. Median: $5,309 (159% 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
Corvel Corporation $2,127 - $5,200 64%
Careworks (Rockport) $2,172 - $5,309 65%
Prime Health $2,172 - $5,309 65%
Freedom Health $2,350 - $4,575 70%
Optimum $2,350 - $4,575 70%
Simply Healthcare Plans $3,792 113%
Molina $3,950 - $5,211 118%
Health Sun Health Plan $4,200 126%
Avmed $4,281 128%
Sunshine State Health Plan $6,625 198%
Cigna $11,166 - $15,153 334%
Oscar $12,772 382%
Simply Healthcare $13,422 402%
Blue Cross Blue Shield $21,742 - $24,677 650%
United $28,000 838%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1796 Hwy 441 North, Okeechobee, FL 34972
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals