CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Ochsner American Legion Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $2,949
  • Cash Discount Price: $5,704
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Ochsner American Legion Hospital is $2,949. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $5,704. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.88x the Medicare baseline. Located in 1634 Elton Road, Jennings, LA.
Cash / Self-Pay
$5,704

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,949

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: $5,704 (171%)
Insurance Median: $2,949 (88%)
Cash: $5,704 (171% of Medicare)
Ins. Median: $2,949 (88% 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 $662 - $6,165 20%
Amerihealth Caritas Louisiana (Healthy Louisiana) $662 20%
Healthy Blue (Healthy Louisiana) $662 20%
Humana $662 - $2,949 20%
Louisiana Healthcare Connections (Healthy Louisiana) $662 20%
UnitedHealthcare $662 - $2,949 20%
Cigna $1,300 39%
Verity Commercial And First Choice Network $1,728 52%
Blue Cross Blue Shield $2,949 - $5,801 88%
Healthy Blue Dual Advantage (Hmo-D-Snp) $2,949 88%
Medicare (plans) $2,949 88%
Ochsner Health Plan $2,949 88%
Tricare $2,949 88%
Wellcare Of Louisiana $2,949 88%
American Health Advantage Of Louisiana (Formerly Dignity Health Plan) $3,038 91%
Provider Network Of America $5,013 150%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1634 Elton Road, Jennings, LA 70546
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals