CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: St. Catherine Hospital - Garden City

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $535
  • Cash Discount Price: Unavailable
  • vs. Medicare Baseline: 0.16x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at St. Catherine Hospital - Garden City is $535. 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 0.16x the Medicare baseline. Located in 401 East Spruce, Garden City, KS.
Cash / Self-Pay
Unavailable

Average discount available for prompt cash payment at this facility.

Insurance Median
$535

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: $535 (16%)
Ins. Median: $535 (16% 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
Kansas Health $483 14%
Kaiser $483 - $535 14%
Blue Cross Blue Shield $483 - $4,261 14%
Aetna $483 - $535 14%
Humana $483 - $535 14%
UnitedHealthcare $483 - $535 14%
Cigna $483 - $535 14%
Medicare (plans) $483 - $535 14%
Innovage $535 16%
Devoted Health $535 16%

Consumer Guidance & Cost Commentary

For patients paying out-of-pocket, the most important factor is that the cash price for this knee arthroscopy with meniscus repair service at St. Catherine Hospital - Garden City is not listed in the available data, so you should directly contact the facility to confirm their self-pay or prompt-pay rates before scheduling. While commercial insurance plans like Kansas Health, Kaiser, Blue Cross Blue Shield, Aetna, Humana, UnitedHealthcare, Cigna, and Medicare typically negotiate rates between $483 and $535, patients with high-deductible plans should verify if a cash price exists that could be lower than these negotiated amounts, as paying the full insurance rate without meeting a deductible can result in significantly higher out-of-pocket costs.

The facility, a voluntary non-profit church-owned acute care hospital in Garden City, KS, does not display a cash median in the current dataset, but its commercial negotiated rates align closely with the Medicare benchmark of $3,342.87, which serves as the federal cost baseline for this procedure. Although the state of Kansas and the Garden City county averages are not provided in this specific report, patients should be aware that commercial rates often include administrative markups that can exceed the Medicare amount by 200% to 300%, whereas fair pricing is generally considered to be between 120% and 150% of the Medicare rate. If you are paying out-of-network or have a plan that does not cover this service, you may face balance billing risks, though the No Surprises Act provides protections for emergency and non-emergency care at in-network facilities, making it essential to request an itemized audit and dispute any unexpected charges in writing.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 401 East Spruce, Garden City, KS 67846
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals