CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Memorial Hospital West

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $4,015
Cash Discount Price: Unavailable
vs. Medicare Baseline: 1.20x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Memorial Hospital West is $4,015. 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 1.20x the Medicare baseline. Located in 703 N Flamingo Rd, Pembroke Pines, FL.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,015

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: $4,015 (120%)

Ins. Median: $4,015 (120% 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.

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
Broward County	$718	21%
UnitedHealthcare	$3,417 - $4,100	102%
Health Value Management	$3,519	105%
Wellcare	$3,622 - $3,724	108%
Florida Community Care	$3,656	109%
Humana	$3,690	110%
Aetna	$3,793	113%
Doctors Healthcare Plans	$3,861	115%
Solis Health Plan	$3,861	115%
Health Sun	$3,895	117%
Florida Pace Centers	$3,929	118%
Corvel	$4,153	124%
Employers Choice Network	$4,153	124%
First Health	$4,153	124%
Gallagher Bassett	$4,153	124%
Prime Health Services	$4,153	124%
Align Senior Care	$4,169	125%
Gold Kidney	$4,169	125%
Longevity	$4,271	128%
Sunshine	$4,613 - $6,492	138%

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 Memorial Hospital West 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.