CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Sarah Bush Lincoln Health Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $868
  • Cash Discount Price: $2,855
  • vs. Medicare Baseline: 0.26x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Sarah Bush Lincoln Health Center is $868. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $2,855. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.26x the Medicare baseline. Located in 1000 Health Center Drive P O Box 372, Mattoon, IL.
Cash / Self-Pay
$2,855

Average discount available for prompt cash payment at this facility.

Insurance Median
$868

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: $2,855 (85%)
Insurance Median: $868 (26%)
Cash: $2,855 (85% of Medicare)
Ins. Median: $868 (26% 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
Aetna $351 - $2,570 10%
Bc Comm Care Mcaid $351 10%
Hlth Alliance Mcaid $351 10%
Molina Mcaid $351 10%
Bc Comm Mmai $521 16%
Beacon Health Options Behav-All Plans $521 16%
Hlth Alliance Mcr Adv $521 16%
Humana $521 - $532 16%
Meridian Mcaid $521 16%
Meridian Mmai-All Other Plans $521 16%
Molina Mmai-All Other Plans $521 16%
Tricare $521 16%
UnitedHealthcare $521 - $2,370 16%
Va Ccn-All Plans $521 16%
Wellcare Med Adv-All Plans $521 16%
Bc Med Adv Ppo/Hmo $537 16%
Blue Cross Blue Shield $553 - $1,221 17%
First Health-All Plans $771 23%
Multiplan-All Plans $964 29%
Plain Church Mg-All Plans $1,142 34%
Mennonite-All Plans $1,285 38%
Eiu Athlete-All Other Plans $1,998 60%
Healthscope-All Plans $2,113 63%
Rural King-All Plans $2,113 63%
Hope Trust-All Plans $2,284 68%
Eiu Student $2,341 70%
Allied National-All Plans $2,398 72%
Companion Life-All Plans $2,398 72%
Innovative Hlthware-All Plans $2,427 73%
Healthlink Hmo $2,455 73%
Healthlink Ppo - All Other Plans $2,455 73%
Cigna $2,570 77%
Consociate-All Plans $2,570 77%
Cphp-All Plans $2,570 77%
Beech Street-All Plans $2,627 79%
Hfn-All Plans $2,627 79%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1000 Health Center Drive P O Box 372, Mattoon, IL 61938
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals