CMS Price Transparency Data

Bunion correction surgery

Facility: Laredo Medical Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $3,451
  • Cash Discount Price: $18,283
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Laredo Medical Center is $3,451. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,283. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.03x the Medicare baseline. Located in 1700 East Saunders, Laredo, TX.
Cash / Self-Pay
$18,283

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,451

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: $18,283 (547%)
Insurance Median: $3,451 (103%)
Cash: $18,283 (547% of Medicare)
Ins. Median: $3,451 (103% 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
Veterans Eval Services $819 24%
Medicaid / KanCare $1,145 - $2,320 34%
Molina $1,145 - $2,324 34%
UnitedHealthcare $1,145 - $21,711 34%
Blue Cross Blue Shield $1,168 - $16,607 35%
Multiplan Primary $1,171 35%
Amerigroup $1,202 36%
Cigna $1,202 - $6,998 36%
Superior $1,202 - $3,396 36%
Lonestar Athletic $2,000 60%
Humana $3,234 97%
Medicare (plans) $3,234 97%
Node Ice Health Service Corps $3,287 98%
Node Va $3,287 98%
Triwest $3,287 98%
Aetna $3,331 - $44,184 100%
American Health $3,364 101%
Provider Partners Health Plan $3,386 101%
Node Amerigroup Mcr Adv $3,396 102%
Node Tihp Mcr Adv $3,396 102%
Node Wellpoint Mcr Adv $3,451 103%
Industrial Rehab $3,780 113%
Node Us Dept Of Labor $4,109 123%
Self Pay $5,333 160%
Node Molina Health Exchange $5,456 163%
Node Brookshire Brothers $5,752 172%
Node Brookshire Brothers Work Comp Tx $6,114 183%
Coventry Hcn Tx Work Comp $6,245 187%
Health Smart $6,245 - $53,325 187%
Node Superior Commercial Exchange $6,574 197%
Tx Work Comp $6,574 197%
Node Champva $6,696 200%
Tricare $6,696 200%
Node Hospice Non Par Agree $7,020 210%
Imo Work Comp $7,560 226%
Node Naphcare $7,560 226%
Tx Workforce Commission $25,139 752%
Medical Control $63,228 1891%
Health Headquarters $64,752 1937%
Multiplan $66,275 1983%
Nha $67,037 2005%
Galaxy Health Network $67,418 2017%
Accountable Health Plans $68,561 2051%
Cchn $68,561 2051%
Nppn Plan Vista $68,561 2051%
Ppo Next $68,561 2051%
Mutual Of Omaha $72,370 2165%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1700 East Saunders, Laredo, TX 78044
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals