CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Sarasota Memorial Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $892
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.27x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Sarasota Memorial Hospital is $892. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.27x the Medicare baseline. Located in 1700 S Tamiami Trl, Sarasota, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$892

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%)

Insurance Median: $892 (27%)

Ins. Median: $892 (27% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Simply Healthcare Oncology	$308 - $669	9%
Sunshine State Oncology	$308 - $669	9%
Molina Oncology	$317 - $688	9%
Amerihealth Caritas Oncology	$322 - $701	10%
Community Care Plan Oncology	$322 - $701	10%
Blue Cross Blue Shield	$370 - $3,257	11%
Florida Community Care Oncology	$387 - $1,014	12%
UnitedHealthcare	$388 - $8,956	12%
Wellcare Oncology	$406 - $882	12%
Simply Freedom Optimum Oncology	$408 - $887	12%
Aetna	$410 - $6,829	12%
Oscar Oncology	$638 - $1,386	19%
Simply Healthcare	$1,380 - $1,449	41%
Sunshine State	$1,449	43%
Ambetter / Centene	$1,474 - $8,794	44%
Molina	$1,491	45%
Amerihealth Caritas	$1,518	45%
Community Care Plan	$1,518	45%
Florida Community Care	$1,518 - $3,583	45%
Careworks	$3,335 - $4,099	100%
Enlyte	$3,335 - $4,099	100%
Simply Freedom Optimum	$3,420	102%
Wellcare	$3,420	102%
Oscar Health	$6,934	207%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $X.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 29881.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Sarasota Memorial Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 29881.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.