CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Baptist Health Medical Center - Jacksonville

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $2,382
Cash Discount Price: Unavailable
vs. Medicare Baseline: 0.71x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Baptist Health Medical Center - Jacksonville is $2,382. 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 0.71x the Medicare baseline. Located in 800 Prudential Dr, Jacksonville, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$2,382

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: $2,382 (71%)

Ins. Median: $2,382 (71% 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
Amerigroup Of Georgia	$1,380	41%
Caresource Of Georgia	$1,380	41%
Daniel Memorial	$1,380	41%
Humana	$1,380 - $1,518	41%
Peach State Health Plan	$1,380	41%
Simply Healthcare Plans	$1,449 - $1,656	43%
Simply Healthcare Plans - Cha	$1,449	43%
Amerihealth Caritas	$1,518	45%
Florida Community Care	$1,518 - $3,420	45%
Sunshine State Health Plan	$1,518	45%
United Community Plan	$1,518	45%
Vivida Health	$1,518	45%
Molina Healthcare Of Florida	$1,643	49%
Aetna	$1,656 - $3,322	50%
Corvel	$3,107	93%
Community Hospice Of Northeast Florida	$3,245 - $3,257	97%
Pace	$3,245 - $3,257	97%
Tomorrow'S Rainbow	$3,245 - $3,257	97%
Va Ccn	$3,245 - $3,257	97%
UnitedHealthcare	$3,277 - $3,289	98%
Devoted	$3,439 - $3,452	103%
Upmc	$3,569 - $3,583	107%
Ambetter / Centene	$7,787 - $7,816	233%

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 Baptist Health Medical Center - Jacksonville 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.