CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Physicians Regional Medical Center - Pine Ridge

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,541
  • Cash Discount Price: $14,690
  • vs. Medicare Baseline: 1.06x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Physicians Regional Medical Center - Pine Ridge is $3,541. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $14,690. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.06x the Medicare baseline. Located in 6101 Pine Ridge Road, Naples, FL.
Cash / Self-Pay
$14,690

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,541

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: $14,690 (439%)
Insurance Median: $3,541 (106%)
Cash: $14,690 (439% of Medicare)
Ins. Median: $3,541 (106% 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
Veterans Eval Services $543 16%
Childrens Medical Services $1,380 41%
Medicaid / KanCare $1,380 - $1,518 41%
UnitedHealthcare $1,380 - $16,928 41%
Humana $1,422 - $3,362 43%
Integral Health $1,449 43%
Wellcare $1,449 43%
Simply Healthcare Plan $1,463 44%
Magellan $1,484 44%
Amerigroup $1,505 45%
Prestige Health $1,601 48%
Simply Healthcare $3,000 90%
Aetna $3,362 - $46,447 101%
Blue Cross Blue Shield $3,362 - $29,041 101%
Medicare (plans) $3,362 101%
Node Non Par Hospice Agree $3,417 102%
Node Va $3,417 102%
Freedom Optimum $3,463 104%
Node Wellcare Mcr Adv $3,519 105%
Occunet $3,541 - $8,542 106%
Prime Health Work Comp Fl $3,816 114%
Rockport $3,816 114%
Florida Workers Compensation $3,934 118%
Node Us Dept Of Labor $4,271 128%
Tricare $5,456 163%
Node Champva $5,743 172%
Florida State Auto Insurance $6,834 204%
Ambetter / Centene $8,713 261%
Cigna $11,957 358%
Self Pay $12,591 377%
Community Health Partners $17,597 526%
Avmed $26,581 795%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 6101 Pine Ridge Road, Naples, FL 34119
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals