CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Lakewood Health System

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $552
Cash Discount Price: $831
vs. Medicare Baseline: 0.17x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Lakewood Health System is $552. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $831. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.17x the Medicare baseline. Located in 49725 County Road 83, Staples, MN.

Cash / Self-Pay

$831

Average discount available for prompt cash payment at this facility.

Insurance Median

$552

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: $831 (25%)

Insurance Median: $552 (17%)

Cash: $831 (25% of Medicare)

Ins. Median: $552 (17% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Ucare Msho/Special Needs	$341 - $552	10%
UnitedHealthcare	$377 - $1,193	11%
Blue Cross Blue Shield	$490 - $986	15%
Humana	$490 - $541	15%
Ucare Mcr Adv	$490 - $552	15%
Medica Msho/Mcr Adv	$527	16%
Ucare Individual/Family - All Other Plans	$616 - $784	18%
Medica Choice Care	$654 - $902	20%
Medica Choice/Focus/Ifb/Mhps - All Other Plans	$902	27%
Preferred One Hmo	$1,026 - $1,273	31%
Preferred One Ppo - All Other Plans	$1,088 - $1,273	33%
Health Partners - All Plans	$1,260 - $1,303	38%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $831.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 29881.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Lakewood Health System is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 29881.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.