CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Cass County Memorial Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $514
Cash Discount Price: $1,352
vs. Medicare Baseline: 0.15x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Cass County Memorial Hospital is $514. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,352. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.15x the Medicare baseline. Located in 1501 East Tenth Street, Atlantic, IA.

Cash / Self-Pay

$1,352

Average discount available for prompt cash payment at this facility.

Insurance Median

$514

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: $1,352 (40%)

Insurance Median: $514 (15%)

Cash: $1,352 (40% of Medicare)

Ins. Median: $514 (15% 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
Midlands Choice Medica Mcr	$386	12%
Triwest - All Plans	$453	14%
Aetna	$467 - $1,738	14%
Amerigroup Mcr Adv - All Other Plans	$467	14%
Medica Mcr Adv	$467	14%
Tricare	$467	14%
UnitedHealthcare	$467 - $817	14%
Va Ccn - All Plans	$467	14%
Wellmark Mcr Adv	$472	14%
Iowa Total Care Mcr	$476	14%
American Hlth Mcr Adv - All Plans	$481	14%
Iowa Total Care Comm - All Other Plans	$514	15%
Wellmark Hmo	$1,068	32%
Midlands Choice New Bus	$1,226	37%
Midlands Choice Pho (Ppo) - All Other Plans	$1,226	37%
Wellmark Ppo - All Other Plans	$1,256	38%
Medica Comm - All Other Plans	$1,699	51%
Multiplan - All Plans	$1,834	55%
Medicaid / KanCare	$1,931	58%
Iowa Total Care Mcaid	$1,970	59%
Molina Mcaid - All Plans	$1,970	59%

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 $1,352.
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 Cass County Memorial 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.