CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Memorial Hospital and Health Care Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $1,271
Cash Discount Price: $1,190
vs. Medicare Baseline: 0.38x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Memorial Hospital and Health Care Center is $1,271. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,190. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.38x the Medicare baseline. Located in 800 W 9Th St, Jasper, IN.

Cash / Self-Pay

$1,190

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,271

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: $1,190 (36%)

Insurance Median: $1,271 (38%)

Cash: $1,190 (36% of Medicare)

Ins. Median: $1,271 (38% 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
Blue Cross Blue Shield	$387 - $3,399	12%
Aetna	$494 - $3,399	15%
Caresource In Marketplace	$494 - $4,249	15%
Humana	$494 - $3,399	15%
Tricare	$494 - $2,889	15%
Mdwise	$496	15%
Mhs Hoosier Care Connect	$496	15%
Immergrun	$593 - $4,079	18%
Ambetter / Centene	$643 - $4,419	19%
Noncontracted	$791 - $5,438	24%
Onecare	$816	24%
Siho	$816	24%
Chamber Care	$832	25%
UnitedHealthcare	$946 - $10,197	28%
Cigna	$1,736	52%
Sagamore	$1,736	52%
Encore	$1,754	52%
Encore Elite +	$1,754 - $8,158	52%
Patoka Valley	$1,977	59%

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 $1,190.
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 Memorial Hospital and Health Care Center 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.