CMS Price Transparency Data

Bunion correction surgery

Facility: Ochsner St Anne General Hospital

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 28296
Insurance Median: $3,945
Cash Discount Price: $3,415
vs. Medicare Baseline: 1.18x Medicare

The contracted insurance negotiated median rate for a Bunion correction surgery at Ochsner St Anne General Hospital is $3,945. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,415. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.18x the Medicare baseline. Located in 4608 Highway 1, Raceland, LA.

Cash / Self-Pay

$3,415

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,945

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: $3,415 (102%)

Insurance Median: $3,945 (118%)

Cash: $3,415 (102% of Medicare)

Ins. Median: $3,945 (118% 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
Humana	$536 - $2,406	16%
UnitedHealthcare	$536 - $9,160	16%
Healthy Blue (Healthy Louisiana)	$546	16%
Louisiana Healthcare Connections (Healthy Louisiana)	$546	16%
Aetna	$552 - $3,945	17%
Amerihealth Caritas Louisiana (Healthy Louisiana)	$552	17%
Tricare	$2,161 - $2,401	65%
Medicaid / KanCare	$2,398	72%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan)	$2,406	72%
Blue Cross Blue Shield	$2,406 - $9,928	72%
Healthy Blue Dual Advantage (Hmo-D-Snp)	$2,406	72%
Medicare (plans)	$2,406	72%
Ochsner Health Plan	$2,406	72%
Healthcomp & Personify Health (Formerly Gilsbar)	$5,822	174%
Louisiana Workers' Compensation Corporation (Lwcc)	$5,822	174%
Mississippi Physicians Care Network	$5,822	174%
Employers Health Network (Ehn)	$6,598	197%
First Health Network	$6,598	197%
Prime Health Services Ppo	$6,598	197%
Claritev D/B/A Multiplan/Phcs/American Life Care	$6,986	209%
Usa Managed Care Network	$6,986	209%
Zelis	$6,986	209%
Cigna	$7,428	222%

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 $3,415.
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 Ochsner St Anne General 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.