CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Goshen Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,129
  • Cash Discount Price: $28,216
  • vs. Medicare Baseline: 0.94x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Goshen Hospital is $3,129. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $28,216. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.94x the Medicare baseline. Located in 200 High Park Ave, Goshen, IN.
Cash / Self-Pay
$28,216

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,129

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: $28,216 (844%)
Insurance Median: $3,129 (94%)
Cash: $28,216 (844% of Medicare)
Ins. Median: $3,129 (94% 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
Advantage Health Solutions $3,129 94%
Aetna $3,129 94%
Atrio Health Plans $3,129 94%
Bc Federal Employee $3,129 94%
Bc Mcr Advantage Ppo $3,129 94%
Blue Cross Blue Shield $3,129 94%
Buckeye Health Plan $3,129 94%
Cigna $3,129 94%
Coventry Health And Life $3,129 94%
Emblem Health $3,129 94%
Freedom Healthcare $3,129 94%
Geisinger Health Plan $3,129 94%
Health First $3,129 94%
Healthspring $3,129 94%
Humana $3,129 94%
Iehp Empire Health Plan $3,129 94%
Independent Care Health Plan $3,129 94%
Kaiser Permanente $3,129 94%
Mcr Advantra Freedom $3,129 94%
Mcr Allwell Mhs $3,129 94%
Mcr Banner Health $3,129 94%
Mcr Complete $3,129 94%
Mcr Complete Ppo $3,129 94%
Mcr Complete Wellmed $3,129 94%
Mcr Health Alliance $3,129 94%
Mcr Health Partners Plans $3,129 94%
Mcr Medical Mutual Of Ohio $3,129 94%
Mcr Passport Advantage $3,129 94%
Mcr Secure Horizons Ppo $3,129 94%
Mcr Texan Plus $3,129 94%
Mcr Upmc For Life $3,129 94%
Medicare (plans) $3,129 - $3,317 94%
Meridian Complete $3,129 94%
Optimum Healthcare $3,129 94%
Paramount Elite $3,129 94%
Primetime Health Plan $3,129 94%
Simply Complete Hmo $3,129 94%
The Umwa H&R Funds $3,129 94%
Todays Options Pyramid Life $3,129 94%
Trillium Advantage $3,129 94%
Ucare For Seniors $3,129 94%
Ucare Minnesota $3,129 94%
UnitedHealthcare $3,129 94%
Wellcare $3,129 94%
Champva $3,220 96%
Tricare $3,220 96%
Mcr Devoted Health Plan $3,317 99%
Mcr Provider Partners Hlth Pln $3,542 106%
Ambetter / Centene $4,508 135%
Mkt Caresource $4,508 135%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 200 High Park Ave, Goshen, IN 46526
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals