CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Gibson General Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $692
  • Cash Discount Price: $1,190
  • vs. Medicare Baseline: 0.21x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Gibson General Hospital is $692. 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 0.21x the Medicare baseline. Located in 1808 Sherman Drive, Princeton, IN.
Cash / Self-Pay
$1,190

Average discount available for prompt cash payment at this facility.

Insurance Median
$692

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: $692 (21%)
Cash: $1,190 (36% of Medicare)
Ins. Median: $692 (21% 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
Aetna $494 - $1,736 15%
Blue Cross Blue Shield $494 - $792 15%
Caresource Just For Me $494 15%
Medicare (plans) $494 15%
Meridiancomplete (Il) $494 15%
Mytruadvantage $494 15%
UnitedHealthcare $494 - $946 15%
Va Ccn $494 15%
Caresource $496 15%
Mdwise Plans $496 15%
Mhs $496 15%
Medicaid / KanCare $534 16%
Meridiancare (Il) $534 16%
Meridianhealth (Il) $534 16%
Ambetter / Centene $618 18%
Caresource In Marketplace $643 19%
Alliance Coal $692 21%
Claimdoc $692 21%
Hopetrust $742 22%
Hstechnology $742 22%
Encircle/Encore Combined $782 23%
Encircle/Encore Prime $782 23%
Noncontracted $791 24%
Deaconess Onecare $816 - $6,993 24%
Ky Racing Health & Welfare Fund $1,190 36%
Self-Pay $1,190 36%
Cigna $1,736 52%
First Health $1,736 52%
Healthlink Hmo $1,736 52%
Healthlink Ppo $1,736 52%
Sagamore (Ppo, Oap-Open Access Plus, Epo, Choice Fund Oap+) $1,736 52%
Chambercare $2,040 61%
Gibson County Sheriff $2,890 86%
Integrated Health $3,060 92%
Principal Health Care $3,060 92%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1808 Sherman Drive, Princeton, IN 47670
  • CMS Rating: No CMS Rating
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Critical Access Hospitals