CMS Price Transparency Data
Knee arthroscopy with meniscus repair
Facility: Mercy Hospital St Louis
Billing Code: 29881 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 29881
- Insurance Median: $5,074
- Cash Discount Price: $7,459
- vs. Medicare Baseline: 1.52x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Mercy Hospital St Louis is $5,074. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,459. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.52x the Medicare baseline. Located in 615 New Ballas Road, Saint Louis, MO.
Cash / Self-Pay
$7,459
Average discount available for prompt cash payment at this facility.
Insurance Median
$5,074
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: $7,459 (223%)
Insurance Median: $5,074 (152%)
Cash: $7,459 (223% of Medicare)
Ins. Median: $5,074 (152% 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 |
|---|---|---|
| Blue Cross Blue Shield | $515 - $10,471 | 15% |
| Indian Health Service Contracted [320198] | $515 | 15% |
| Medicaid / KanCare | $2,766 - $5,379 | 83% |
| Mercy Benefit Admin Contracted [320251] | $3,000 - $5,226 | 90% |
| Mercy Benefit Admin [20251] | $3,000 - $5,226 | 90% |
| Aetna | $3,015 - $6,599 | 90% |
| American Health Advantage Of Mo Mcr [10473] | $3,015 | 90% |
| Cherokee Nation Health Serv Contracted [320066] | $3,015 | 90% |
| Cross Timbers Hospice [20098] | $3,015 | 90% |
| Dept Of Veteran Affairs Contracted [320106] | $3,015 | 90% |
| Elara Caring Aspire Hospice Contracted [320433] | $3,015 | 90% |
| Elara Caring Aspire Hospice [20433] | $3,015 | 90% |
| Globalhealth Contracted [320145] | $3,015 | 90% |
| Halo Hcr Inc Hospice Contracted [320432] | $3,015 | 90% |
| Halo Hcr Inc Hospice [20432] | $3,015 | 90% |
| Humana | $3,015 | 90% |
| Kindful Hospice Contracted [320434] | $3,015 | 90% |
| Kindful Hospice [20434] | $3,015 | 90% |
| Medicare (plans) | $3,015 - $3,135 | 90% |
| Mercy Hospice Okc [20252] | $3,015 | 90% |
| Pace Of The Ozarks Contracted [320518] | $3,015 | 90% |
| Qual Choice Contracted [320325] | $3,015 | 90% |
| Tricare | $3,015 | 90% |
| UnitedHealthcare | $3,015 - $3,596 | 90% |
| Hope Trust Contracted [320488] | $3,073 | 92% |
| Cigna | $3,075 | 92% |
| Provider Partners Health Plans Contracted [320450] | $3,322 | 99% |
| Medica Contracted [320239] | $3,530 | 106% |
| Healthscope Contracted [320182] | $3,842 | 115% |
| Centivo Contracted [320505] | $5,071 | 152% |
| Show-Me Health Administrators Contracted [320483] | $5,074 - $5,328 | 152% |
| Aither Health Contracted [320449] | $5,226 | 156% |
| Aither Health [20449] | $5,226 | 156% |
| Auxiant Contracted [320462] | $5,226 | 156% |
| Ebms Contracted [320493] | $5,226 | 156% |
| Edison Health Solutions Contracted [320502] | $5,226 | 156% |
| Healthlink Contracted [320179] | $5,226 | 156% |
| Imagine 360 Contracted [320494] | $5,226 | 156% |
| Reflect Health Contracted [320492] | $5,226 | 156% |
| Yuzu Health Contracted [320521] | $5,226 | 156% |
| Preferred Health Plan Contracted [320522] | $5,378 | 161% |
| Ambetter / Centene | $5,379 | 161% |
| Home State Health Plan Contracted [320187] | $5,379 | 161% |
| Novasys Contracted [320285] | $5,379 | 161% |