CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Unity Physicians Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $2,523
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.75x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Unity Physicians Hospital is $2,523. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is unavailable. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.75x the Medicare baseline. Located in 4455 Edison Lakes Pkwy, Mishawaka, IN.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,523

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%)
Insurance Median: $2,523 (75%)
Ins. Median: $2,523 (75% 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.

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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 $583 - $3,500 17%
Medicaid / KanCare $583 17%
Mhs Hoosier Care Connect $583 17%
Aarp Supplemental $2,523 75%
Aetna $2,523 75%
Cigna $2,523 75%
Department Of Va $2,523 75%
Medicare (plans) $2,523 75%
Mhs Healthy Indiana Plan $2,523 75%
Railroad Retirement $2,523 75%
UnitedHealthcare $2,523 - $4,750 75%
Three Rivers Provider Network $3,027 91%
Humana $3,532 106%
Encore $4,541 136%
All Savers $4,750 142%
Medica $4,750 142%
Medica Ifb $4,750 142%
Oxford $4,750 142%
Provider Network Of America $5,046 151%
Nalc $16,785 502%
Sagamore Health Network $16,785 502%
Multiplan $18,184 544%
Multiplan Wc $22,380 669%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 4455 Edison Lakes Pkwy, Mishawaka, IN 46545
  • CMS Rating: No CMS Rating
  • Ownership Type: Physician
  • Hospital Type: Acute Care Hospitals