CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Grandview Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,894
  • Cash Discount Price: $18,072
  • vs. Medicare Baseline: 1.16x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Grandview Medical Center is $3,894. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $18,072. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.16x the Medicare baseline. Located in 3690 Grandview Parkway, Birmingham, AL.
Cash / Self-Pay
$18,072

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,894

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: $18,072 (541%)
Insurance Median: $3,894 (116%)
Cash: $18,072 (541% of Medicare)
Ins. Median: $3,894 (116% 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%
Viva Health $1,525 - $3,894 46%
Aetna $2,600 - $3,033 78%
Healthchoice $2,600 - $72,290 78%
Blue Advantage $2,945 88%
Humana $2,945 88%
Medicare (plans) $2,945 88%
UnitedHealthcare $2,945 - $54,217 88%
Victory Health $2,945 88%
Select Health $2,974 89%
Hospice $2,993 90%
Node Va $2,993 90%
Cigna $3,004 - $5,227 90%
Node Devoted Health Mcr Adv $3,004 90%
Node Clover Health Mcr Adv $3,023 90%
Node Wellcare Mcr Adv $3,053 91%
Bp Health Advocate $3,500 105%
Choicecare $3,500 105%
First Health $3,500 - $94,217 105%
Node Us Dept Of Labor $3,741 112%
Blue Cross Blue Shield $3,854 115%
Ambetter / Centene $4,489 134%
Healthspring $5,238 157%
Ag Administrators $7,500 224%
Tricare $12,946 387%
Node Champva $13,627 408%
Self Pay $18,072 541%
Alamed $42,169 1261%
Drummond $42,169 1261%
American Employee Alliance $48,193 1442%
Value Options $60,241 1802%
Multiplan $74,699 - $84,338 2235%
Blue Bell Creameries $84,338 2523%
Natl Comp Care $90,362 2703%
Usa Ppo $90,362 2703%
Coventry Work Comp Al $94,217 2818%
Novanet $97,290 2910%
Alabama Wc $102,410 3064%
Cal-Med $102,410 3064%
Corvel $102,410 3064%
Associated Admin $108,434 3244%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3690 Grandview Parkway, Birmingham, AL 35243
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals