CMS Price Transparency Data

Bunion correction surgery

Facility: Bayou Bend Health System

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $1,359
Cash Discount Price: $1,352
vs. Medicare Baseline: 0.41x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Bayou Bend Health System is $1,359. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,352. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.41x the Medicare baseline. Located in 1097 Northwest Blvd, Franklin, LA.

Cash / Self-Pay

$1,352

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,359

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: $1,352 (40%)

Insurance Median: $1,359 (41%)

Cash: $1,352 (40% of Medicare)

Ins. Median: $1,359 (41% 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
Blue Cross Blue Shield	$869 - $3,263	26%
Tricare	$869	26%
UnitedHealthcare	$908 - $966	27%
Aetna	$966 - $1,313	29%
Dignity Mcr Adv Ip/Op Only-All Plans	$966	29%
Humana	$966 - $1,255	29%
Sterling Hp Mcr Adv Ip/Op Only-All Plans	$966	29%
Verity Healthnet Mcr Adv Ip/Op Only	$966	29%
Wellcare Mcr Allwell Ip/Op Only-All Plans	$966	29%
Ambetter / Centene	$1,110	33%
Amerihealth Caritas Mcaid Ip/Op Only-All Plans	$1,359	41%
La Health Mcaid Ip/Op Only	$1,359	41%
Verity Healthnet Mcaid Ip/Op Only	$1,359	41%
Diocese Of Lafaytte Ip/Op Only-All Plans	$1,448	43%
Gilsbar 360 Ip/Op Only-All Plans	$1,448	43%
Verity Healthnet Ip/Op Only-All Other Plans	$1,448	43%
Ccn/First Health Ip/Op Only-All Plans	$1,545	46%
Integrated Hp Multiplan Ip/Op Only-All Plans	$1,545	46%
Ppo Plus / Zelis Ip/Op Only-All Plans	$1,545	46%
Geha Ppo Ip/Op Only-All Plans	$1,641	49%
Usa Mco Ip/Op Only-All Plans	$1,641	49%
Galaxy Ip/Op Only-All Plans	$1,738	52%

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 $1,352.
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 Bayou Bend Health System 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.