CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Kosciusko Community Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $927
  • Cash Discount Price: $347
  • vs. Medicare Baseline: 0.28x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Kosciusko Community Hospital is $927. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $347. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.28x the Medicare baseline. Located in 2101 E Dubois Dr, Warsaw, IN.
Cash / Self-Pay
$347

Average discount available for prompt cash payment at this facility.

Insurance Median
$927

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: $347 (10%)
Insurance Median: $927 (28%)
Cash: $347 (10% of Medicare)
Ins. Median: $927 (28% 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 $108 - $9,278 3%
Self Pay $108 - $9,278 3%
Lutheran Preferred Network $162 - $35,344 5%
Physicians Health Plan $189 - $20,358 6%
Php Freedom Network $198 - $17,062 6%
UnitedHealthcare $200 - $23,239 6%
Encore $205 - $17,672 6%
Trma Inc $205 - $1,585 6%
Aetna $210 - $23,504 6%
Connecticut General Life Insurance Company $302 - $26,022 9%
Cigna $324 - $27,922 10%
First Health Network $385 - $33,135 12%
Prime Health Services $385 - $33,135 12%
Advantage Health $426 - $36,670 13%
Private Healthcare Systems $441 - $37,995 13%
Sagamore $451 - $41,529 13%
One Call Care Diagnostics Wc $474 14%
Encore Health Network $477 - $41,088 14%
Veterans Eval Services $494 15%
Caresource $1,749 - $2,274 52%
Blue Cross Blue Shield $2,274 - $14,226 68%
Humana $2,274 - $3,648 68%
Managed Health Services $2,274 68%
Medicaid / KanCare $2,274 68%
Mhs $2,274 - $3,648 68%
Medicare (plans) $3,648 109%
Iu Health $3,708 111%
Node Non Par Hospice 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%
Lutheran Advanced Network $5,561 166%
Lutheran Preferred $5,561 - $7,415 166%
Align In Work Comp $5,932 177%
One Call Work Comp $5,932 177%
Encore Work Comp In $6,674 200%
Tricare $6,686 200%
Department Of Veterans Affairs $7,038 211%
Managed Health Services Exchange $7,415 222%
Workers Comp $7,415 222%
Encore Kba Epo $8,898 266%
Encore Kba Ppo $11,123 333%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2101 E Dubois Dr, Warsaw, IN 46580
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals