CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Northeast Regional Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $6,493
  • Cash Discount Price: $12,524
  • vs. Medicare Baseline: 1.94x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Northeast Regional Medical Center is $6,493. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $12,524. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.94x the Medicare baseline. Located in 315 S Osteopathy, Kirksville, MO.
Cash / Self-Pay
$12,524

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,493

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: $12,524 (375%)
Insurance Median: $6,493 (194%)
Cash: $12,524 (375% of Medicare)
Ins. Median: $6,493 (194% 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
Veterans Eval Services $500 15%
Healthlink $2,500 - $36,528 75%
Medicaid / KanCare $2,766 - $4,509 83%
Node Champva $3,305 99%
Tricare $3,305 99%
Medicare (plans) $3,454 103%
Node Hospice Non Par Agree $3,510 105%
Node Va $3,510 105%
UnitedHealthcare $3,510 - $39,137 105%
Blue Cross Blue Shield $3,523 - $15,916 105%
Node Devoted Health Mcr Adv $3,626 108%
Blue Pathway/Pathway X $3,927 117%
Centurion Correctional $4,387 131%
Us Department Of Labor $4,387 131%
Home State Exchange $6,318 189%
Naphcare $6,669 199%
Immergrun $7,020 210%
Blue Prefrerred $8,221 246%
Blue Access $8,468 253%
Self Pay $12,524 375%
Cigna $17,742 - $20,404 531%
Aetna $19,412 - $43,521 581%
Access Health Services, Llc $33,919 1015%
Multiplan $39,137 - $41,746 1171%
Coventry Wc $41,746 1249%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 315 S Osteopathy, Kirksville, MO 63501
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals