CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Trinity Health Muskegon Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,717
  • Cash Discount Price: $16,642
  • vs. Medicare Baseline: 1.11x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Trinity Health Muskegon Hospital is $3,717. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $16,642. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.11x the Medicare baseline. Located in 1500 E Sherman Blvd, Muskegon, MI.
Cash / Self-Pay
$16,642

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,717

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: $16,642 (498%)
Insurance Median: $3,717 (111%)
Cash: $16,642 (498% of Medicare)
Ins. Median: $3,717 (111% 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
U Of M Health Plan $1,171 35%
Blue Cross Blue Shield $1,828 - $3,717 55%
Medicaid / KanCare $1,828 - $1,863 55%
Access Health $2,444 73%
Aetna $3,422 102%
Blue Care Network Advantage $3,422 102%
Medicare (plans) $3,422 102%
Align Senior Care $3,492 104%
Correctional Recovery $3,492 104%
Heartland Hospice $3,492 104%
Hospice Harbor Hospice $3,492 104%
UnitedHealthcare $3,596 108%
Bcn Domestic $3,717 111%
Blue Benefit Administrators Of Massachusetts $3,717 111%
Blue Care Network $3,717 111%
Blue Distinction Transplant $3,717 111%
Blue Shield - Ca $3,717 111%
Blue Shield - Id (Regence) $3,717 111%
Blue Shield - Ny Highmark Northeastern $3,717 111%
Blue Shield - Ny Highmark Western $3,717 111%
Blue Shield - Pa (Highmark) $3,717 111%
Blue Shield - Wa (Regence) $3,717 111%
Health Choices $3,717 111%
Kaiser Domestic $3,717 111%
Longevity Ipa Of Michigan Llc Health Plan Isnp $3,935 118%
Oscar $4,469 134%
Molina Marketplace $4,539 136%
Priority Health $4,621 - $5,170 138%
Vitalcore $5,412 162%
Wellpath $5,412 162%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1500 E Sherman Blvd, Muskegon, MI 49441
  • CMS Rating: ★★★☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals