CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Saint Francis Hospital-Evanston

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,489
  • Cash Discount Price: $3,489
  • vs. Medicare Baseline: 1.04x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Saint Francis Hospital-Evanston is $3,489. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $3,489. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.04x the Medicare baseline. Located in 355 Ridge Ave, Evanston, IL.
Cash / Self-Pay
$3,489

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,489

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: $3,489 (104%)
Insurance Median: $3,489 (104%)
Cash: $3,489 (104% of Medicare)
Ins. Median: $3,489 (104% 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
Ravenswood Physicians Associates Ipa $579 - $3,489 17%
Resurrection Physicians Provider Group Ipa $579 - $3,489 17%
Cigna $690 - $4,550 21%
Standard Eapg Logic - Contracts $2,685 80%
Aetna $2,686 - $3,664 80%
Blue Cross Blue Shield $2,686 - $4,885 80%
Countycare $2,686 80%
Humana $2,686 - $3,838 80%
Medicaid / KanCare $2,686 80%
Meridian $2,820 - $3,664 84%
Molina $2,820 - $5,234 84%
Celtic (Wellcare) $3,489 104%
Clear Spring Health Of Illinois $3,489 104%
Devoted Health $3,489 104%
Essential Health Partners $3,489 - $4,013 104%
Illinois Physicians Alliance $3,489 104%
Longevity Health Plan Of Illinois $3,489 104%
Medicare (plans) $3,489 104%
Self-Pay $3,489 104%
Tricare $3,489 104%
UnitedHealthcare $3,489 - $7,715 104%
Zing Health Provider Network $3,594 108%
Provider Partners Health Plan (Pphp) $3,664 110%
Access Community Health Network $4,187 125%
Imagine Health Network, Inc. $4,898 147%
Clifton Health Systems $5,408 162%
Ambetter / Centene $5,652 169%
Hfn Inc (Healthcare Finest Network) $8,216 246%
Coventry $8,392 251%
Workers Comp $8,392 251%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 355 Ridge Ave, Evanston, IL 60202
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals