CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Northwest Health - Starke

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $6,303
  • Cash Discount Price: $12,386
  • vs. Medicare Baseline: 1.89x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Northwest Health - Starke is $6,303. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,386. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.89x the Medicare baseline. Located in 102 E Culver Rd, Knox, IN.
Cash / Self-Pay
$12,386

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,303

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: $12,386 (371%)
Insurance Median: $6,303 (189%)
Cash: $12,386 (371% of Medicare)
Ins. Median: $6,303 (189% 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
One Call $474 14%
Lutheran $1,702 51%
Caresource $1,749 - $2,274 52%
Blue Cross Blue Shield $2,274 - $13,630 68%
Humana $2,274 - $3,648 68%
Managed Health Services $2,274 - $7,415 68%
Medicaid / KanCare $2,274 68%
Mhs $2,274 68%
UnitedHealthcare $2,274 - $32,478 68%
Aetna $3,648 - $39,680 109%
Medicare (plans) $3,648 109%
Node Hospice Non Par Agree $3,708 111%
Node Va $3,708 111%
Node Devoted Health Mcr Adv $3,721 111%
In Dept Of Correction $3,856 115%
Node Pphp Mcr Adv $3,893 116%
Us Department Of Labor $4,634 139%
Encore $6,674 - $39,910 200%
Tricare $6,926 207%
Node Champva $7,291 218%
Indiana Workers Comp $7,415 222%
Lutheran Network $7,415 - $40,368 222%
Encore Kba Epo $8,898 266%
Magnacare Ma $8,898 266%
Encore Kba Ppo $11,123 333%
Self Pay $12,386 371%
Medpartners $15,367 460%
Physicians Health Plan $18,950 567%
Alpha Baking $20,643 618%
Php $27,606 826%
Multiplan Inc $36,698 - $41,286 1098%
Cigna $38,075 1139%
Coventry First Health $39,680 1187%
Sagamore Health Network $40,368 1208%
Community Health Alliance $41,286 1235%
Ppom $43,121 1290%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 102 E Culver Rd, Knox, IN 46534
  • CMS Rating: ★☆☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals