CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: University Of Ks Hlth System Great Bend Campus

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $5,290
  • Cash Discount Price: $1,398
  • vs. Medicare Baseline: 1.58x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at University Of Ks Hlth System Great Bend Campus is $5,290. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,398. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.58x the Medicare baseline. Located in 514 Cleveland Street, Great Bend, KS.
Cash / Self-Pay
$1,398

Average discount available for prompt cash payment at this facility.

Insurance Median
$5,290

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: $1,398 (42%)
Insurance Median: $5,290 (158%)
Cash: $1,398 (42% of Medicare)
Ins. Median: $5,290 (158% 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
UnitedHealthcare $3,055 91%
Workers Comp [503999901] $3,055 - $5,290 91%
Ku Athletics [503200094] $3,055 91%
Medicare (plans) $3,116 93%
Blue Cross Blue Shield $3,146 - $4,056 94%
Allwell [503200078] $3,146 94%
Humana $3,223 96%
Tricare $3,223 96%
Triwest [503201703] $3,223 96%
Centurion [5032000966] $3,971 119%
Ambetter / Centene $4,430 133%
Sedgwick Claims Management Services [53201618] $5,290 158%
Prime Health Services [503999912] $5,290 158%
Alt Bnsf Railway Co [503301503] $5,290 158%
Gallagher Bassett [5032000103] $5,290 158%
Occunet [503999930] $6,415 192%
Fort Hays State Student Athletes [5032000960] $6,415 192%
6 Degrees Health [503999050] $7,637 228%
Advanced Medical Pricing Solutions [503301513] $9,668 289%

Consumer Guidance & Cost Commentary

For the knee arthroscopy with meniscus repair procedure at the University of KS Health System Great Bend Campus, the facility's cash price of $1,398 is significantly lower than the median negotiated rate of $5,290 paid by insurance plans. While the facility's gross charge is $6,988, patients with high-deductible plans may find the cash price more advantageous if their insurance negotiated rate exceeds this amount. It is important to note that the facility is a Government Hospital District, which often influences pricing structures, and patients should explicitly ask about "self-pay" or "prompt-pay" discounts before scheduling to potentially reduce the final bill.

When comparing this rate to broader benchmarks, the facility's cash price is notably lower than the state average, though specific county averages were not provided in this report. The Medicare benchmark for this service is $3,342.87, which serves as a reliable baseline for evaluating commercial pricing; commercial negotiated rates typically range from 200% to 300% of Medicare, whereas fair pricing is often defined between 120% and 150%. If you receive a bill that includes charges for services not rendered or unbundled codes, you should request a formal itemized audit to identify errors, as over 80% of hospital bills contain discrepancies that can be corrected through written dispute.

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 514 Cleveland Street, Great Bend, KS 67530
  • CMS Rating: ★★★★☆
  • Ownership Type: Government - Hospital District or Authority
  • Hospital Type: Acute Care Hospitals