CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: East Georgia Regional Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $4,883
  • Cash Discount Price: $11,818
  • vs. Medicare Baseline: 1.46x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at East Georgia Regional Medical Center is $4,883. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,818. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.46x the Medicare baseline. Located in 1499 Fair Road, Statesboro, GA.
Cash / Self-Pay
$11,818

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,883

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: $11,818 (354%)
Insurance Median: $4,883 (146%)
Cash: $11,818 (354% of Medicare)
Ins. Median: $4,883 (146% 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 $513 15%
Medicaid / KanCare $2,546 - $2,674 76%
Peach State Hlth Plan Mcaid Ga $2,597 78%
UnitedHealthcare $2,674 - $15,242 80%
Humana $3,071 92%
Medicare (plans) $3,071 92%
Node Clover Health Mcr Adv $3,071 92%
Tricare $3,091 92%
Health Net Va $3,121 93%
Node Non Par Hospice Agree $3,121 93%
Node Va $3,121 93%
Caresource Mcr Adv $3,224 96%
Node Champva $3,253 97%
Node Us Dept Of Labor $3,901 117%
Department Of Health $4,187 125%
Ambetter / Centene $5,579 167%
Caresource Exchange $5,617 168%
Blue Cross Blue Shield $6,179 - $16,213 185%
Ga Work Comp $7,967 238%
Prime Health Work Comp $7,967 238%
Three Rivers Wc $7,967 238%
Self Pay $11,818 354%
Industry Buying Group $18,383 550%
Aetna $19,448 - $35,015 582%
Ibg $19,696 589%
Coventry $24,948 746%
Three Rivers Provider Network $26,262 786%
First Health $32,827 982%
Prime Health Commercial $35,015 1047%
Novanet $37,204 1113%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1499 Fair Road, Statesboro, GA 30458
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals