CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Lower Keys Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,659
  • Cash Discount Price: $13,900
  • vs. Medicare Baseline: 1.09x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Lower Keys Medical Center is $3,659. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $13,900. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.09x the Medicare baseline. Located in 5900 College Road, Key West, FL.
Cash / Self-Pay
$13,900

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,659

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: $13,900 (416%)
Insurance Median: $3,659 (109%)
Cash: $13,900 (416% of Medicare)
Ins. Median: $3,659 (109% 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
UnitedHealthcare $62 - $39,589 2%
Veterans Eval Services $543 16%
Florida Childrens Medical Services $2,105 63%
Medicaid / KanCare $2,105 - $2,316 63%
South Florida Community Care Network $2,105 63%
Humana $2,169 - $3,601 65%
Amerigroup $2,316 69%
Positive Healthcare $2,316 69%
Simply Healthcare $2,316 - $3,000 69%
Wellcare $2,316 69%
Wellcare Healthease $2,316 69%
Molina $2,379 71%
Prestige Health Choice $2,442 73%
Magellan $2,527 76%
Blue Cross Blue Shield $3,601 - $63,496 108%
Medicare (plans) $3,601 108%
Ultimate Health $3,601 108%
Prime Health Work Comp Fl $3,629 109%
Node Non Par Hospice Agree $3,659 109%
Node United Behavioral Va Ccn $3,659 109%
Node Va $3,659 109%
Fl Work Comp $3,742 112%
Heritage Summit Work Comp Fl $3,742 112%
Correct Care Solutions $4,025 120%
Node Us Dept Of Labor $4,574 137%
Tricare $5,717 171%
Node Champva $6,017 180%
State Auto Insurance Fl $7,319 219%
Self Pay $13,900 416%
Cigna $30,374 909%
Aetna $35,934 1075%
Monroe County $38,611 1155%
Evolutions Healthcare Systems $41,185 - $48,907 1232%
Keys Energy $41,185 1232%
Prime Health Ppo $41,185 1232%
Avmed Health Plan $43,759 1309%
Direct Healthcare $51,481 1540%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5900 College Road, Key West, FL 33040
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals