CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Flowers Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,500
  • Cash Discount Price: $11,044
  • vs. Medicare Baseline: 1.05x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Flowers Hospital is $3,500. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,044. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.05x the Medicare baseline. Located in 4370 West Main Street, Dothan, AL.
Cash / Self-Pay
$11,044

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,500

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: $11,044 (330%)
Insurance Median: $3,500 (105%)
Cash: $11,044 (330% of Medicare)
Ins. Median: $3,500 (105% 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
Alabama Rehab $441 13%
Medicaid / KanCare $441 - $1,368 13%
Veterans Eval Services $484 14%
Cigna $2,641 - $3,164 79%
Blue Cross Blue Shield $3,102 - $3,273 93%
Humana $3,102 93%
Medicare (plans) $3,102 93%
Node Viva Mcr Adv $3,102 93%
UnitedHealthcare $3,102 - $7,164 93%
Select Health $3,133 94%
Compassionate Hands $3,152 94%
Covenant Hospice $3,152 94%
Dayspring Hospice $3,152 94%
Node Hospice Non Par $3,152 94%
Node Va $3,152 94%
Southern Care Hospice $3,152 94%
Vistacare Hospice $3,152 94%
Wiregrass Hospice $3,152 94%
Care Improvement Plus $3,164 95%
Node Devoted Health Mcr Adv $3,164 95%
Node Clover Health Mcr Adv $3,184 95%
Aetna $3,194 - $53,748 96%
Node Wellcare Mcr Adv $3,215 96%
Eon Health Care $3,257 97%
Prime Health $3,319 - $51,944 99%
Choicecare Commercial $3,500 105%
Node Us Dept Of Labor $3,940 118%
Ambetter / Centene $4,728 141%
Viva Health $5,219 156%
Occunet $5,516 165%
Multiplan $5,578 - $58,902 167%
Tricare $8,068 241%
Node Champva $8,493 254%
Self Pay $11,044 330%
S & S Healthcare $18,407 551%
American Employee Alliance $29,451 881%
Coventry Healthcare $36,814 - $56,222 1101%
Standard Textile $51,539 1542%
Alamed Wc $51,944 1554%
Health Choice $53,748 1608%
Equian $55,221 - $58,056 1652%
Qhp $55,221 1652%
Novanet $58,902 1762%
Alabama Work Comp $61,111 1828%
Ccn/Mednet Ppo $62,584 1872%
Corvel $62,584 1872%
Industry Buying Group $62,584 1872%
Galaxy Health $66,265 1982%
Health Payors Org $66,265 1982%
National Provider Net $66,265 1982%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4370 West Main Street, Dothan, AL 36302
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals