CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: HCA Florida Putnam Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $7,037
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 2.11x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at HCA Florida Putnam Hospital is $7,037. 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 2.11x the Medicare baseline. Located in 611 Zeagler Dr, Palatka, FL.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$7,037

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: $7,037 (211%)
Ins. Median: $7,037 (211% 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 211% of the Medicare baseline (a markup of 111%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

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Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Corvel Corporation $2,834 - $3,555 85%
Prime Health $2,894 - $3,629 87%
Careworks (Rockport Community) $2,984 - $3,742 89%
Molina Healthcare $3,950 - $6,243 118%
Simply $3,950 118%
Blue Cross Blue Shield $3,978 - $8,714 119%
Sunshine State Health Plan $6,641 199%
Simply Healthcare $7,432 222%
Aetna $7,519 - $9,824 225%
Oscar $8,062 241%
Cigna $8,384 - $20,055 251%
Evolutions $9,010 270%
United $12,040 360%
Ultimate Health Plan $12,500 374%
Humana $19,813 593%
Avmed $20,942 - $23,005 626%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 611 Zeagler Dr, Palatka, FL 32177
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals