CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Southern Regional Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $3,266
Cash Discount Price: $3,265
vs. Medicare Baseline: 0.98x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Southern Regional Medical Center is $3,266. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,265. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.98x the Medicare baseline. Located in 11 Upper Riverdale Road, Sw, Riverdale, GA.

Cash / Self-Pay

$3,265

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,266

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: $3,265 (98%)

Insurance Median: $3,266 (98%)

Cash: $3,265 (98% of Medicare)

Ins. Median: $3,266 (98% 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
Humana	$1,091 - $3,200	33%
Blue Cross Blue Shield	$2,725 - $3,266	82%
Aetna	$3,266 - $4,275	98%
Americas Choice Provider Network	$3,266	98%
Cigna	$3,266 - $6,810	98%
Clear Spring Health Plan	$3,266	98%
Corvel	$3,266	98%
Georgia Workers’ Compensation	$3,266	98%
Medicare (plans)	$3,266	98%
Multiplan	$3,266	98%
Novanet	$3,266	98%
Prime Health Services	$3,266	98%
Provider Select	$3,266	98%
Riverwood Behavioral Health	$3,266 - $4,082	98%
Three Rivers	$3,266	98%
Tricare	$3,266	98%
UnitedHealthcare	$3,266	98%
Caresource	$3,364 - $5,715	101%
Devoted Health	$3,364	101%
Peach State	$3,364 - $3,919	101%
Sonder Health Plan	$3,429	103%
Wellcare	$3,429	103%
Oscar Health Plan	$4,246	127%
Employer Direct Healthcare	$4,572	137%
Centurion	$4,899	147%
Naphcare	$5,062	151%

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 $3,265.
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 Southern Regional Medical Center 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.