CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Bluffton Regional Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $743
  • Cash Discount Price: $379
  • vs. Medicare Baseline: 0.22x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Bluffton Regional Medical Center is $743. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $379. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.22x the Medicare baseline. Located in 303 S Main St, Bluffton, IN.
Cash / Self-Pay
$379

Average discount available for prompt cash payment at this facility.

Insurance Median
$743

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: $379 (11%)
Insurance Median: $743 (22%)
Cash: $379 (11% of Medicare)
Ins. Median: $743 (22% 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
Amish Aid $123 - $492 4%
Self Pay $123 - $1,129 4%
Physicians Health Plan $124 - $497 4%
Lutheran Preferred Network $153 - $5,193 5%
Php Freedom Network $161 - $643 5%
Cigna $163 - $726 5%
Php $163 - $654 5%
Aetna $186 - $3,406 6%
Php Management Systems $199 - $795 6%
Lutheran Trma $205 - $923 6%
UnitedHealthcare $240 - $3,462 7%
Encore Ppo $251 - $1,003 8%
Sagamore Sebt $262 - $1,049 8%
Sagamore Health Newtork Inc $275 - $1,100 8%
Consumer Life $318 - $1,272 10%
Ahg Dana Employees $333 - $1,334 10%
Align Networks $359 - $1,436 11%
Prime Health Services $385 - $6,231 12%
Private Healthcare Systems Inc $385 - $1,539 12%
Multiplan $410 - $1,642 12%
Encore Health Network $421 - $1,847 13%
Advantage 360 $426 - $1,703 13%
Community Health Alliance $436 - $1,744 13%
First Health $441 - $1,765 13%
Allied Benefit Systems $462 - $1,847 14%
Cardinal Health Alliance $462 - $1,847 14%
Ppom $462 - $1,847 14%
Veterans Eval Services $494 15%
Blue Cross Blue Shield $3,406 - $14,226 102%
Medicare (plans) $3,406 102%
Node Iu Health Mcr Adv $3,406 102%
Node Mhs Mcr Adv $3,406 102%
Humana $3,462 104%
Node Non Par Hospice Agree $3,462 104%
Node Va $3,462 104%
Northeast Hospice $3,462 104%
Node Caresource Mcr Adv $3,474 104%
Node Devoted Health Mcr Adv $3,475 104%
County Jail Health Care $3,600 108%
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%
Lutheran Three Rivers Preferred Plus 150 $5,193 155%
Lutheran Three Rivers Preferred Plus 175 $6,058 181%
Encore Work Comp In $6,231 186%
Lutheran Northwest Health Preferred $6,924 207%
Managed Health Services Exchange $6,924 207%
Workers Compensation $6,924 207%
Encore Kba Epo $8,308 249%
Encore Kba Ppo $10,385 311%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 303 S Main St, Bluffton, IN 46714
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals