CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Deaconess Illinois Crossroads

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $841
Cash Discount Price: $187
vs. Medicare Baseline: 0.25x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Deaconess Illinois Crossroads is $841. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $187. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.25x the Medicare baseline. Located in 8 Doctors Park Rd, Mount Vernon, IL.

Cash / Self-Pay

$187

Average discount available for prompt cash payment at this facility.

Insurance Median

$841

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: $187 (6%)

Insurance Median: $841 (25%)

Cash: $187 (6% of Medicare)

Ins. Median: $841 (25% 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
Self-Pay	$187 - $1,190	6%
Cigna	$207 - $1,323	6%
Prime Health Services	$400 - $2,550	12%
Humana	$416 - $3,382	12%
Aetna	$421 - $3,450	13%
Guardian Resources, Inc.	$448 - $2,856	13%
Healthcare'S Finest Network (Hfn)	$453 - $2,890	14%
Medicalcontrol Network Solutions	$453 - $2,890	14%
National Provider Network	$453 - $2,890	14%
Three Rivers Provider Network	$464 - $2,958	14%
Beech Street	$469 - $2,992	14%
Blue Cross Blue Shield	$526 - $3,382	16%
Meridian Health Plan	$526 - $3,382	16%
Molina Healthcare Of Illinois	$526 - $3,416	16%
Mytru Advantage	$526 - $3,382	16%
Umwa	$526 - $3,382	16%
UnitedHealthcare	$526 - $3,382	16%
Wellcare	$526 - $3,382	16%
Alliance Coal	$725 - $5,581	22%
Alter-Net Medical Services, Inc.	$841 - $9,639	25%
Noncontracted	$841 - $5,412	25%
Deaconess Onecare	$1,078	32%
Care Improvement Plus	$3,450	103%
Hope Trust	$9,639	288%

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 $187.
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 Deaconess Illinois Crossroads 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.