CMS Price Transparency Data

Bunion correction surgery

Facility: Longview Regional Medical Center

Billing Code: 28296 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 28296
  • Insurance Median: $3,287
  • Cash Discount Price: $12,270
  • vs. Medicare Baseline: 0.98x Medicare
The contracted insurance negotiated median rate for a Bunion correction surgery at Longview Regional Medical Center is $3,287. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,270. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.98x the Medicare baseline. Located in 2901 N Fourth St, Longview, TX.
Cash / Self-Pay
$12,270

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,287

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: $12,270 (367%)
Insurance Median: $3,287 (98%)
Cash: $12,270 (367% of Medicare)
Ins. Median: $3,287 (98% 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 - $4,231 34%
UnitedHealthcare $1,145 - $19,086 34%
Superior $1,202 - $4,898 36%
Cigna $1,335 40%
Multiplan $1,461 - $57,940 44%
Gregg Co Detention Center $1,899 57%
Verity Health Net $2,309 69%
Blue Cross Blue Shield $2,748 - $9,884 82%
Healthspring $3,234 97%
Humana $3,234 97%
Medicare (plans) $3,234 97%
Node Hospice Non Par Agree $3,287 98%
Node Triwest $3,287 98%
Node Va $3,287 98%
Aetna $3,299 - $46,420 99%
American Health Mcr Adv $3,364 101%
Provider Partners Health Plan $3,386 101%
Node Amerigroup Mcr Adv $3,396 102%
Wellness Pointe $3,944 118%
Self Pay $4,090 122%
Node Us Dept Of Labor $4,109 123%
Amerigroup $4,231 127%
Access Direct Platinum $5,588 167%
Node Brookshire Brothers $5,752 172%
Node Champva $6,034 181%
Tricare $6,034 181%
Node Brookshire Brothers Work Comp Tx $6,114 183%
Work Comp $6,574 197%
Texas Rehab Commission $17,041 510%
Nx Health Network $21,813 653%
Health Smart $37,491 - $47,715 1122%
Aim Administrators $51,124 1529%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2901 N Fourth St, Longview, TX 75605
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals