CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Fhn Memorial Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $3,161
Cash Discount Price: $2,674
vs. Medicare Baseline: 0.95x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Fhn Memorial Hospital is $3,161. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,674. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.95x the Medicare baseline. Located in 1045 West Stephenson Street, Freeport, IL.

Cash / Self-Pay

$2,674

Average discount available for prompt cash payment at this facility.

Insurance Median

$3,161

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: $2,674 (80%)

Insurance Median: $3,161 (95%)

Cash: $2,674 (80% of Medicare)

Ins. Median: $3,161 (95% 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
Aetna	$573 - $4,296	17%
The Alliance - All Plans	$617 - $4,624	18%
Ecoh Nihp	$648 - $4,859	19%
Nihp Employ - All Plans	$648 - $4,859	19%
Quartz - All Other Plans	$669 - $5,013	20%
Blue Cross Blue Shield	$695 - $5,206	21%
Ecoh - All Other Plans	$700 - $5,245	21%
Northern Il Hp - All Plans	$710 - $5,322	21%
First Health - All Plans	$723 - $5,422	22%
UnitedHealthcare	$803 - $6,016	24%
Humana	$814 - $6,101	24%
Hfn - All Plans	$844 - $6,325	25%
First Choice Il - All Plans	$875 - $6,556	26%
Multiplan Phcs - All Plans	$875 - $6,556	26%
Wps - All Plans	$899 - $6,741	27%
Galaxy - All Plans	$926 - $6,942	28%
Health Alliance - All Other Plans	$926 - $6,942	28%
Interplan Health - All Plans	$926 - $6,942	28%
Preferred Plan Ppo - All Plans	$926 - $6,942	28%
Trustmark - All Plans	$947 - $7,096	28%
Midland Choice - All Plans	$978 - $7,327	29%
Osf Healthplans - All Plans	$1,029 - $7,713	31%
Meridian Health Plan - All Plans	$1,854	55%
Health Alliance Mcr Adv	$3,506	105%
Quartz Mcr Adv	$3,506	105%

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 $2,674.
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 Fhn 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.