CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Lutheran Hospital of Indiana

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $635
  • Cash Discount Price: $474
  • vs. Medicare Baseline: 0.19x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Lutheran Hospital of Indiana is $635. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $474. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.19x the Medicare baseline. Located in 7950 W Jefferson Blvd, Fort Wayne, IN.
Cash / Self-Pay
$474

Average discount available for prompt cash payment at this facility.

Insurance Median
$635

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: $474 (14%)
Insurance Median: $635 (19%)
Cash: $474 (14% of Medicare)
Ins. Median: $635 (19% 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
Physicians Health Plan Of Northern Indiana $127 - $810 4%
Ky Work Comp $129 - $517 4%
Amish Aid $154 - $616 5%
Lutheran Preferred Network $154 - $1,231 5%
Self Pay $154 - $739 5%
Cigna $166 - $745 5%
Php Freedom Network $170 - $681 5%
Blue Cross Blue Shield $190 - $14,226 6%
Aetna $205 - $3,406 6%
Lutheran Preferred $205 - $821 6%
Sagamore $234 - $1,110 7%
Encore Ppo $251 - $1,003 8%
Lutheran Network $256 - $6,924 8%
Multiplan $374 - $1,703 11%
Prime Health Services $385 - $6,231 12%
Encore Health Network $421 - $1,847 13%
Advantage Health Solutions $426 - $1,703 13%
Allied Benefit Systems $462 - $1,847 14%
Evolutions $462 - $1,847 14%
One Call Care Diagnostics $474 14%
Veterans Eval Services $494 15%
UnitedHealthcare $3,066 - $3,462 92%
Humana $3,406 102%
Iu Health Plan $3,406 102%
Managed Health Services $3,406 - $6,924 102%
Medicare (plans) $3,406 102%
Node Hospice Non Par Agree $3,462 104%
Node Va $3,462 104%
Node Devoted Health Mcr Adv $3,475 104%
In Dept Of Correction $3,600 108%
Node Pphp Mcr Adv $3,635 109%
Us Department Of Labor $4,327 129%
Lutheran Advanced Network $5,193 155%
Node Lutheran Network $5,193 - $6,058 155%
Node Lutheran Preferred Fixed 2 $5,193 155%
Align Network $5,539 166%
Encore Work Comp In $6,231 186%
Node Encore Kba Epo $8,308 249%
Node Encore Kba Ppo $10,385 311%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 7950 W Jefferson Blvd, Fort Wayne, IN 46804
  • CMS Rating: ★★★☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals