CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Deaconess Henderson Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $1,190
  • Cash Discount Price: $1,190
  • vs. Medicare Baseline: 0.36x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Deaconess Henderson Hospital is $1,190. 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 0.36x the Medicare baseline. Located in 1305 N Elm St, Henderson, KY.
Cash / Self-Pay
$1,190

Average discount available for prompt cash payment at this facility.

Insurance Median
$1,190

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: $1,190 (36%)
Cash: $1,190 (36% of Medicare)
Ins. Median: $1,190 (36% 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 $493 - $2,843 15%
Blue Cross Blue Shield $493 - $2,843 15%
Humana $493 - $2,843 15%
Medicare (plans) $493 - $2,843 15%
Mhs Mco $493 - $2,843 15%
Molina Healthcare Of Ky $493 - $2,843 15%
Molina Healthcare Of Ky - Exchange $493 - $2,843 15%
Mytru Advantage $493 - $2,843 15%
Umwa $493 - $2,843 15%
UnitedHealthcare $493 - $8,979 15%
Wellcare Il $493 - $2,843 15%
Wellcare Ky $493 - $3,411 15%
Caresource In $496 15%
Medicaid / KanCare $496 - $519 15%
Caresource In Marketplace $641 - $4,264 19%
Wellcare Ky Commercial Exchange $641 - $5,828 19%
Alliance Coal $680 - $4,264 20%
Encircle/Encore Combined $782 23%
Encircle/Encore Prime $782 23%
Center Care Narrow $788 24%
Center Care Open Access $788 24%
Noncontracted $788 - $4,548 24%
Ky Racing Health & Welfare Fund $1,190 36%
Self-Pay $1,190 36%
First Health Network (Coventry) $1,736 52%
Healthlink $1,736 52%
Iu Health Plans $1,736 52%
Phcs/Multiplan $1,736 52%
Sagamore $1,736 52%
Cigna $2,040 61%
Claimdoc $2,040 - $6,823 61%
Hopetrust $2,040 - $6,823 61%
Hstechnology $2,040 - $6,823 61%
Amish And Mennonite Of Western Ky $2,210 - $4,264 66%
Coventry National Network $2,720 81%
Webster County Detention Center $2,720 81%
Henderson County Detention Center $3,060 92%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1305 N Elm St, Henderson, KY 42420
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Church
  • Hospital Type: Acute Care Hospitals