Knee arthroscopy with meniscus repair
Facility: Menorah Medical Center
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 |
|---|---|---|
| Amerigroup | $1,049 | 31% |
| United | $1,049 - $9,451 | 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 Menorah Medical Center in Overland Park, KS, the facility's negotiated rates range from $1,049 to $14,300 across 17 different payers, with a median negotiated amount of $4,797. This commercial pricing is significantly higher than the Medicare benchmark of $3,342.87, reflecting a markup of 1.4 times the federal baseline. While commercial insurance contracts often cap charges to protect members, these negotiated rates can still exceed what a patient might pay out-of-pocket, particularly for those with high-deductible plans where the insurance allowed amount surpasses the cash price. It is important to note that cash payments or prompt-pay discounts, which can reduce bills by 20% to 50%, may result in a lower total cost than the standard negotiated rate if the patient's specific plan does not cover the full amount.
Patients should verify their specific plan details before scheduling, as in-network status does not guarantee the lowest possible price, and some facilities charge substantially more than others for the same procedure. If you are paying out-of-network or have not met your deductible, you may face balance billing for the difference between the provider's full charge and the insurance allowed amount, though the No Surprises Act protects against surprise bills for emergency care and non-emergency services at in-network facilities. To ensure you are receiving fair pricing, request an itemized bill to review every line item for errors or unbundled codes, and always ask the hospital directly about self-pay or prompt-pay discounts prior to check-in to avoid unexpected costs.