CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: HCA Florida Sarasota Doctors Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $8,417
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.52x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at HCA Florida Sarasota Doctors Hospital is $8,417. 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 2.52x the Medicare baseline. Located in 5731 Bee Ridge Rd, Sarasota, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$8,417

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: $8,417 (252%)

Ins. Median: $8,417 (252% 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.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 252% of the Medicare baseline (a markup of 152%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Consult Patient Advocate

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
Freedom Health Care	$1,950	58%
Optimum Healthcare	$1,950	58%
Corvel Corporation	$3,058 - $3,834	91%
Rockport Healthcare Group	$3,058 - $3,834	91%
Prime Health	$3,122 - $3,915	93%
Access 2 Healthcare Physicians Freedom Optimum Group Members	$3,843	115%
Molina	$3,950 - $5,711	118%
Simply Healthcare	$3,950 - $8,417	118%
Access 2 Healthcare Physicians Freedom Health	$4,575	137%
Access 2 Healthcare Physicians Optimum	$4,575	137%
Behealthy America	$4,950	148%
Sunshine State Health Plan	$6,769	202%
United	$7,558	226%
Truli	$8,275 - $10,037	248%
Blue Cross Blue Shield	$8,771 - $15,932	262%
Aetna	$9,017 - $14,949	270%
Oscar	$10,272	307%
Avmed	$11,933 - $28,672	357%
Cigna	$12,361	370%
Humana	$14,540	435%
Evolutions Healthcare Systems	$14,791	442%

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 HCA Florida Sarasota Doctors 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.