CMS Price Transparency Data

Bunion correction surgery

Facility: Christus Southeast Texas- St Elizabeth

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $3,250
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.97x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Christus Southeast Texas- St Elizabeth is $3,250. 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 0.97x the Medicare baseline. Located in 2830 Calder Avenue, Beaumont, TX.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,250

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: $3,250 (97%)
Ins. Median: $3,250 (97% 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
UnitedHealthcare $456 - $9,668 14%
Community Health Choice $1,088 - $3,250 33%
Superior $1,088 33%
Amerigroup $1,143 - $3,510 34%
Molina $1,143 - $3,250 34%
Texas Childrens Health Plan $1,143 34%
Aetna $2,242 - $3,250 67%
Humana $2,336 - $3,250 70%
Allwell $3,250 97%
Arcadian Health Plan $3,250 97%
Blue Cross Blue Shield $3,250 - $4,681 97%
Christus Health $3,250 - $4,550 97%
Coventry $3,250 97%
Texas Healthspring $3,250 97%
Triwest $3,250 97%
Wellcare $3,250 97%
Provider Partners Health Plan $3,347 100%
Texas Independence Health Plan $3,347 100%
Shared Health Insurance Company $3,412 102%
Us Imaging Network $3,477 104%
Devoted Health Plan $3,510 105%
Imperial Health Plan $3,575 107%
Medicare (plans) $3,575 107%
Procare Advantage $3,575 107%
Mct Credit Union $3,829 115%
Five Point Credit Union $4,020 120%
Healthcare Highways $4,773 143%
Partners Direct Health $4,989 149%
Cigna $6,039 - $7,833 181%
Adv Cardiovas Specialist $6,500 194%
Naphcare Inc. $6,500 194%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2830 Calder Avenue, Beaumont, TX 77702
  • CMS Rating: ★★★★☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals