CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: HCA Florida Kendall Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $7,988
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.39x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at HCA Florida Kendall Hospital is $7,988. 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 2.39x the Medicare baseline. Located in 11750 Bird Rd, Miami, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,988

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: $7,988 (239%)

Ins. Median: $7,988 (239% 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 239% of the Medicare baseline (a markup of 139%). 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	$2,350	70%
Optimum	$2,350 - $4,575	70%
Corvel Corporation	$3,284 - $4,119	98%
Careworks (Rockport)	$3,353 - $4,205	100%
Prime Health	$3,353 - $4,205	100%
Simply Healthcare Plans	$3,792	113%
Aids Healthcare	$3,950	118%
Molina	$3,950 - $5,211	118%
Medica Healthcare	$4,150	124%
Health Sun Health Plan	$4,200	126%
Mmm Of Fl (Health Advantage Plan)	$4,750	142%
Sunshine State Health Plan	$4,963	148%
Cigna	$6,802 - $11,754	203%
Simply Healthcare	$7,583	227%
Oscar	$8,392	251%
Aetna	$8,736 - $13,140	261%
Amerihealth Caritas	$9,539	285%
Avmed	$9,553 - $20,955	286%
United	$10,100	302%
Blue Cross Blue Shield	$13,617 - $18,507	407%
Humana	$16,049 - $17,832	480%

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 Kendall 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.