CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Gadsden Regional Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,450
  • Cash Discount Price: $11,315
  • vs. Medicare Baseline: 1.03x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Gadsden Regional Medical Center is $3,450. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,315. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.03x the Medicare baseline. Located in 1007 Goodyear Avenue, Gadsden, AL.
Cash / Self-Pay
$11,315

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,450

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: $11,315 (338%)
Insurance Median: $3,450 (103%)
Cash: $11,315 (338% of Medicare)
Ins. Median: $3,450 (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
Medicaid / KanCare $441 13%
Veterans Eval Services $484 14%
Blue Cross Blue Shield $2,888 86%
Humana $2,888 86%
Medicare (plans) $2,888 86%
Node Viva Mcr Adv $2,888 86%
Node Select Health Mcr Adv $2,917 87%
Amedisys Hospice $2,935 88%
Gadsden Hospice $2,935 88%
Node Non Par Hospice Agree $2,935 88%
Node Va $2,935 88%
Southern Care Hospice $2,935 88%
UnitedHealthcare $2,935 - $9,921 88%
Cigna $2,946 - $17,343 88%
Node Devoted Health Mcr Adv $2,946 88%
Node Clover Health Mcr Adv $2,964 89%
Aetna $2,974 - $48,845 89%
Node Wellcare Mcr Adv $2,993 90%
Node Eon Mcr Adv $3,032 91%
Prime Health $3,090 - $68,128 92%
Node Us Dept Of Labor $3,668 110%
Viva Healthcare $3,900 117%
Ambetter / Centene $4,402 132%
Tricare $10,209 305%
Node Champva $10,747 321%
Self Pay $11,315 338%
American Employee Alliance $37,718 1128%
Multiplan $53,748 - $59,406 1608%
Magellan Behavioral $56,577 1692%
First Health $66,006 - $76,143 1975%
Beech Street $68,835 2059%
Alamed Wc $70,721 2116%
Focus Health $72,135 2158%
Coventry Work Comp Al $73,738 2206%
Work Comp $80,150 2398%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1007 Goodyear Avenue, Gadsden, AL 35903
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals