CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Fairview Park Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $7,401
Cash Discount Price: Unavailable
vs. Medicare Baseline: 2.21x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Fairview Park Hospital is $7,401. 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 2.21x the Medicare baseline. Located in 200 Industrial Boulevard, Dublin, GA.

Cash / Self-Pay

Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median

$7,401

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: $7,401 (221%)

Ins. Median: $7,401 (221% 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 221% of the Medicare baseline (a markup of 121%). 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
Memorial Health Plan	$2,108 - $2,755	63%
Amerigroup	$2,365	71%
Peach State	$2,375	71%
Wellcare	$2,375	71%
Health One Alliance	$2,700	81%
Ambetter / Centene	$2,984	89%
Americas 1St Choice	$4,400	132%
Nhc Advantage	$4,950	148%
Pruitt Health	$4,950	148%
Blue Cross Blue Shield	$6,316 - $7,683	189%
Aetna	$6,713 - $9,398	201%
Cigna	$7,390 - $9,852	221%
Core Resources	$7,411	222%
Centurion	$7,512	225%
Friday Health	$7,549	226%
Prime Health	$7,649	229%
Employer'S Health Network	$7,808	234%
Rockport United Network	$7,808	234%
Identity Mco	$7,967	238%
Synergy Health Network	$7,967	238%
United	$7,992	239%

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 Fairview Park 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.