CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: North Okaloosa Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,859
  • Cash Discount Price: $16,829
  • vs. Medicare Baseline: 1.15x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at North Okaloosa Medical Center is $3,859. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,829. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.15x the Medicare baseline. Located in 151 Redstone Ave Se, Crestview, FL.
Cash / Self-Pay
$16,829

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,859

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: $16,829 (503%)
Insurance Median: $3,859 (115%)
Cash: $16,829 (503% of Medicare)
Ins. Median: $3,859 (115% 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
Veterans Eval Services $543 16%
Amerigroup $1,380 41%
Medicaid / KanCare $1,380 41%
UnitedHealthcare $1,380 - $18,512 41%
Simply Healthcare $1,408 - $3,530 42%
Humana $1,422 - $3,530 43%
Integral Health $1,449 43%
Wellcare $1,449 - $3,463 43%
Magellan Health $1,484 44%
Prestige Health $1,601 48%
Aetna $3,362 - $70,120 101%
Blue Cross Blue Shield $3,362 - $15,402 101%
Cigna $3,362 - $72,925 101%
Medicare (plans) $3,362 101%
Node Non Par Hospice Agree $3,417 102%
Node Va $3,417 102%
Florida Department Of Corrections $3,698 111%
Evolutions $3,818 - $82,274 114%
Usa Managed Care Work Comp Fl $3,818 114%
Prime Health Work Comp Fl $3,899 117%
Amcomp Workers Comp $4,019 120%
Node Us Dept Of Labor $4,271 128%
State Auto Insurance Fl $6,834 204%
Tricare $7,156 214%
Node Champva $7,533 225%
Occunet $8,542 256%
Oscar $9,903 296%
Self Pay $16,829 503%
Corizon Health Inc $31,601 945%
Phcs $84,144 2517%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 151 Redstone Ave Se, Crestview, FL 32539
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals