CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Medical Center Enterprise

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $2,952
  • Cash Discount Price: $8,974
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Medical Center Enterprise is $2,952. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $8,974. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.88x the Medicare baseline. Located in 400 N Edwards Street, Enterprise, AL.
Cash / Self-Pay
$8,974

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,952

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: $8,974 (268%)
Insurance Median: $2,952 (88%)
Cash: $8,974 (268% of Medicare)
Ins. Median: $2,952 (88% 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
Al Maternity Waiver Program $334 10%
Medicaid / KanCare $441 - $1,368 13%
Veterans Eval Services $484 14%
Blue Cross Blue Shield $2,775 - $2,952 83%
Humana $2,775 83%
Medicare (plans) $2,775 83%
UnitedHealthcare $2,775 - $5,251 83%
Select Health $2,803 84%
Covenant Hospice $2,820 84%
Dayspring Hospice $2,820 84%
Node Hospice Non Par $2,820 84%
Node Va $2,820 84%
Southerncare Hospice $2,820 84%
Healthspring $2,830 85%
Node Devoted Health Mcr Adv $2,830 85%
Node Clover Mcr Adv $2,848 85%
Aetna $2,858 - $69,796 85%
Node Wellcare Mcr Adv $2,876 86%
Eon Health $2,914 87%
Wiregrass Hospice $2,993 90%
Node Us Dept Of Labor $3,525 105%
Ambetter / Centene $4,230 127%
Cigna $4,645 - $29,902 139%
Occunet $4,935 148%
Self Pay $8,974 268%
Tricare $15,112 452%
Node Champva $15,907 476%
American Employee Alliance $39,884 1193%
Alamed $59,826 1790%
City Of Enterprise $59,826 1790%
Affordable Health $69,796 2088%
Health Choice $69,796 2088%
Novanet Ppo $69,796 2088%
Coventry Work Comp Al $73,386 2195%
Multiplan $73,785 - $76,776 2207%
Wc Dept Ind Relations $79,767 2386%
Corvel $84,753 2535%
Galaxy Health $89,738 2684%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 400 N Edwards Street, Enterprise, AL 36330
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals