CMS Price Transparency Data

Bunion correction surgery

Facility: Our Lady of the Lake Surgical Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $2,969
Cash Discount Price: $3,563
vs. Medicare Baseline: 0.89x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Our Lady of the Lake Surgical Hospital is $2,969. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,563. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.89x the Medicare baseline. Located in 1700 W Lindberg Drive, Slidell, LA.

Cash / Self-Pay

$3,563

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,969

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%)

Cash / Self-Pay: $3,563 (107%)

Insurance Median: $2,969 (89%)

Cash: $3,563 (107% of Medicare)

Ins. Median: $2,969 (89% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Aetna	$536 - $5,938	16%
Amerihealth Caritas	$536	16%
Louisiana Healthcare Connection	$536	16%
UnitedHealthcare	$536 - $4,305	16%
Blue Cross Blue Shield	$2,272 - $2,969	68%
Triwest	$2,820	84%
Healthy Blue	$2,969	89%
Humana	$2,969 - $4,483	89%
Lhc (Allwell)	$2,969	89%
Peoples Health	$2,969	89%
Vantage Health Plan Inc.	$2,969 - $5,047	89%
Wellcare Health Plan Inc	$2,969	89%
Cigna	$4,129	124%
Gilsbar 360	$6,829	204%
Hs Technology	$7,719	231%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $3,563.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 28296.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Our Lady of the Lake Surgical Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 28296.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.