CMS Price Transparency Data

Bunion correction surgery

Facility: Woodland Heights Medical Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $3,299
  • Cash Discount Price: $13,587
  • vs. Medicare Baseline: 0.99x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Woodland Heights Medical Center is $3,299. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,587. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.99x the Medicare baseline. Located in 505 South John Redditt Drive, Lufkin, TX.
Cash / Self-Pay
$13,587

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,299

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: $13,587 (406%)
Insurance Median: $3,299 (99%)
Cash: $13,587 (406% of Medicare)
Ins. Median: $3,299 (99% 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 - $1,683 34%
UnitedHealthcare $1,145 - $33,469 34%
Superior $1,202 - $4,470 36%
Multiplan $1,235 - $64,160 37%
Amerigroup $1,683 50%
Cigna $2,456 73%
Blue Cross Blue Shield $3,183 - $11,020 95%
Humana $3,234 97%
Medicare (plans) $3,234 97%
Node Triwest $3,287 98%
Node Va $3,287 98%
American Health Mcr Adv $3,364 101%
Provider Partners Health Plan $3,386 101%
Node Amerigroup Mcr Adv $3,396 102%
Node Procare Advantage $3,396 102%
Self Pay $3,774 113%
Node Us Dept Of Labor $4,109 123%
Angelina County $4,930 147%
Corporate Remedies $4,930 147%
Partners Direct Health $4,930 147%
Node Brookshire Brothers $5,752 172%
Node Brookshire Brothers Work Comp Tx $6,081 182%
Usa Managed Care $6,114 183%
Work Comp $6,574 197%
Tricare $8,959 - $9,431 268%
Department Of Veterans Affairs $9,431 282%
Texas Rehab Commission $18,870 564%
Aetna $40,005 - $64,160 1197%
Unicare $45,289 1355%
Galaxy Health Network $64,160 1919%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 505 South John Redditt Drive, Lufkin, TX 75904
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals