CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Dukes Memorial Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $504
  • Cash Discount Price: $790
  • vs. Medicare Baseline: 0.15x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Dukes Memorial Hospital is $504. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $790. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.15x the Medicare baseline. Located in 275 W 12Th St, Peru, IN.
Cash / Self-Pay
$790

Average discount available for prompt cash payment at this facility.

Insurance Median
$504

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: $790 (24%)
Insurance Median: $504 (15%)
Cash: $790 (24% of Medicare)
Ins. Median: $504 (15% 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
Department Of Veterans Affairs $95 - $380 3%
Tricare $95 - $380 3%
Blue Cross Blue Shield $101 - $14,226 3%
Humana $101 - $404 3%
Iu Health Plan $101 - $404 3%
Managed Health Services $101 - $821 3%
Medicare (plans) $101 - $404 3%
UnitedHealthcare $101 - $1,010 3%
Aetna $103 - $977 3%
Node Devoted Health Mcr Adv $103 - $412 3%
Node Va $103 - $991 3%
In Dept Of Correction $107 - $427 3%
Miami County Sheriffs Department $107 - $427 3%
Node Pphp Mcr Adv $108 - $431 3%
Lutheran Advanced Network $154 - $616 5%
Lutheran Three Rivers Preferred Plus 150 $154 - $616 5%
Node Lutheran Preferred Fixed 2 $154 - $616 5%
Lutheran Preferred $163 - $1,642 5%
Align Network $164 - $657 5%
Lutheran Three Rivers Preferred Plus 175 $180 - $718 5%
Encore Work Comp In $185 - $739 6%
Prime Health Services $185 - $1,539 6%
Partners Direct Health Llc $195 - $780 6%
Lutheran Northwest Health Preferred $205 - $821 6%
Three Rivers Preferred Plus $205 - $821 6%
Work Comp $205 - $821 6%
Physicians Health Plan $206 - $957 6%
Cigna $218 - $2,052 7%
Three Rivers Preferred $231 - $923 7%
Php Freedom $237 - $947 7%
Encore Kba Epo $246 - $985 7%
Amish Aid $256 - $1,026 8%
Encore Ppo $256 - $1,026 8%
Self Pay $256 - $1,129 8%
Sagamore Health Network $284 - $1,137 8%
Encore Kba Ppo $308 - $1,231 9%
Consumer Life $318 - $1,272 10%
First Health $410 - $1,642 12%
Multiplan $416 - $1,662 12%
Encore Health Network $421 - $1,683 13%
Advantage Health Solutions $426 - $1,703 13%
Encore $462 - $1,847 14%
One Call Wc $474 14%
Veterans Eval Services $494 15%
Us Department Of Labor $977 29%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 275 W 12Th St, Peru, IN 46970
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Critical Access Hospitals