CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Doctors Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $4,950
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 1.48x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Doctors Hospital is $4,950. 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 1.48x the Medicare baseline. Located in 3651 Wheeler Road, Augusta, GA.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,950

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: $4,950 (148%)
Ins. Median: $4,950 (148% 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
Blue Choice $1,966 - $2,949 59%
Blue Cross Blue Shield $2,328 - $3,082 70%
Amerigroup $2,365 71%
Peach State $2,375 71%
Wellcare $2,375 71%
Absolute Total Care $2,500 75%
Health One Alliance $2,700 81%
Ambetter / Centene $3,342 100%
Cigna $4,186 - $6,918 125%
Americas 1St Choice $4,400 132%
Nhc Advantage $4,950 148%
Pruitt Health $4,950 148%
United $5,307 159%
Aetna $6,713 - $9,398 201%
Centurion $7,512 225%
Prime Health $7,649 229%
Rockport United Network $7,808 234%
Identity Mco $7,967 238%
Friday Health $8,682 260%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3651 Wheeler Road, Augusta, GA 30909
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals