CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Dupont Hospital LLC

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $795
  • Cash Discount Price: $428
  • vs. Medicare Baseline: 0.24x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Dupont Hospital LLC is $795. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $428. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.24x the Medicare baseline. Located in 2520 E Dupont Rd, Fort Wayne, IN.
Cash / Self-Pay
$428

Average discount available for prompt cash payment at this facility.

Insurance Median
$795

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: $428 (13%)
Insurance Median: $795 (24%)
Cash: $428 (13% of Medicare)
Ins. Median: $795 (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
Physicians Health Plan $124 - $19,862 4%
Amish Aid $139 - $13,850 4%
Self Pay $139 - $13,850 4%
Lutheran Preferred $152 - $30,778 5%
Cigna $166 - $18,621 5%
Php Freedom Network $170 - $17,025 5%
Aetna $190 - $22,930 6%
Encore Ppo $256 - $25,648 8%
Lutheran Network $256 - $25,648 8%
Medical Mutual Of Oh $272 - $27,187 8%
Sagamore $276 - $28,572 8%
Prime Health Services $385 - $38,472 12%
Frontpath $410 - $41,037 12%
Encore Health Network $421 - $46,167 13%
Advantage Health Solutions $426 - $42,576 13%
Multiplan $441 - $46,167 13%
Allied Benefit Systems $462 - $46,167 14%
Veterans Eval Services $494 15%
Blue Cross Blue Shield $2,274 - $14,226 68%
Caresource $2,274 68%
Humana $2,274 - $3,406 68%
Managed Health Services $2,274 - $6,924 68%
Medicaid / KanCare $2,274 68%
UnitedHealthcare $2,274 - $9,100 68%
Medicare (plans) $3,406 102%
Node Mhs Mcr Adv $3,406 102%
Iu Health $3,462 104%
Node Non Par Hospice Agree $3,462 104%
Node Va $3,462 104%
Node Devoted Health Mcr Adv $3,475 104%
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 Preferred Fixed 2 $5,193 155%
Align In Work Comp $5,539 166%
Tricare $5,869 176%
Department Of Veterans Affairs $6,178 185%
Encore Work Comp In $6,231 186%
In Work Comp $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: 2520 E Dupont Rd, Fort Wayne, IN 46825
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals