Knee arthroscopy with meniscus repair
Facility: Overland Park Reg Med Ctr
Billing Code: 29881 (CPT)
- CPT Billing Code: 29881
- Insurance Median: $4,797
- Cash Discount Price: Unavailable
- vs. Medicare Baseline: 1.43x Medicare
Average discount available for prompt cash payment at this facility.
Median negotiated contract rate across all mapped commercial carriers.
Standard federal government reimbursement rate for this code.
Visual Cost Comparison vs. 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.
Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| United | $1,049 - $6,988 | 31% |
| Amerigroup | $1,049 | 31% |
| Healthyblue | $1,070 | 32% |
| Medicaid / KanCare | $1,080 | 32% |
| Unicare | $1,091 | 33% |
| Aetna | $1,091 - $12,237 | 33% |
| Home State Health Plan | $2,904 - $4,356 | 87% |
| Humana | $3,738 - $4,643 | 112% |
| Multiplan | $4,232 - $6,899 | 127% |
| Universal Healthcare | $4,250 | 127% |
| Nhc Advantage | $4,950 | 148% |
| Corvel Corporation | $5,026 | 150% |
| Oha Network | $5,237 | 157% |
| Cigna | $6,825 - $10,174 | 204% |
| Ambetter / Centene | $9,040 | 270% |
| Oscar | $9,733 | 291% |
| Wppa Providrs Care Network | $14,300 | 428% |
Consumer Guidance & Cost Commentary
For the knee arthroscopy with meniscus repair at Overland Park Reg Med Ctr in Kansas, the facility's negotiated rates range from $1,049 to $14,300 depending on your specific insurance plan. While the lowest negotiated rates start at $1,049 for United and Amerigroup, the highest rates reach $14,300 for Wppa Providrs Care Network. It is important to note that cash payments are not listed in this report, but patients with high-deductible plans should consider that paying out-of-pocket might be cheaper if the insurance negotiated rate exceeds the cash price. Always ask the hospital directly about "self-pay" or "prompt-pay" discounts, which can reduce bills by 20% to 50% when paid upfront, as these incentives bypass the administrative costs associated with insurance billing.
When evaluating costs, it is crucial to compare these rates against the Medicare benchmark rather than the hospital's inflated chargemaster list. The Medicare amount for this procedure is $3,342.87, and the facility's median negotiated rate of $4,797.00 represents a markup of 1.4 times the Medicare rate. This aligns with typical commercial pricing structures where negotiated rates often average 200% to 300% of Medicare, though fair pricing is generally defined as 120% to 150%. To ensure you are not overpaying, request an itemized billing audit to verify that all charges are accurate and that no services were unbundled or billed for without being rendered, as over 80% of hospital bills contain errors.