CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: The Women's Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $791
  • Cash Discount Price: $1,190
  • vs. Medicare Baseline: 0.24x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at The Women's Hospital is $791. 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 0.24x the Medicare baseline. Located in 4199 Gateway Blvd, Newburgh, IN.
Cash / Self-Pay
$1,190

Average discount available for prompt cash payment at this facility.

Insurance Median
$791

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: $791 (24%)
Cash: $1,190 (36% of Medicare)
Ins. Median: $791 (24% 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
Blue Cross Blue Shield $494 - $10,568 15%
Caresource $494 - $2,885 15%
Humana $494 - $2,885 15%
Iu Health $494 - $2,885 15%
Meridian Health Il $494 - $2,885 15%
Mhs $494 - $2,885 15%
Molina Il $494 - $2,885 15%
Molina Ky $494 - $2,885 15%
Molina Ky Dual $494 - $2,885 15%
UnitedHealthcare $494 - $8,847 15%
Wellcare Ky $494 - $2,885 15%
Caresource Hip $496 15%
Caresource In $496 15%
Mdwise Hip $496 15%
Mhs Behavioral $496 15%
Aetna $519 - $1,736 16%
Passport Molina Ky $519 16%
Ambetter / Centene $568 - $4,472 17%
Immergrun $595 - $3,462 18%
Caresource Marketplace (Just4Me) $643 - $4,328 19%
Hst $667 - $4,328 20%
Alliance Coal $682 20%
Allied National/Zelis - Freedom Plan $692 - $7,069 21%
Claimdoc $717 - $4,184 21%
Patoka Valley Health Care (80/20 Plan) $742 22%
Patoka Valley Health Care (90/10 Plan) $742 22%
Encorecombined $782 23%
Encoreprime $782 23%
Hope Trust $791 - $4,761 24%
Noncontracted $791 - $4,616 24%
One Care $816 24%
Chamber Care $818 24%
Amish $1,154 - $1,190 35%
Self Pay $1,190 36%
Cigna $1,736 52%
Claritev (Formerly Phcs/Mulitplan) $1,736 52%
First Health/Coventry $1,736 52%
Healthlink $1,736 52%
Sagamore $1,736 52%
Center Care $2,040 61%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4199 Gateway Blvd, Newburgh, IN 47630
  • CMS Rating: ★★★★★
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals