CMS Price Transparency Data
Knee arthroscopy with meniscus repair
Facility: Mercy Hospital Springfield
Billing Code: 29881 (CPT)
Factual Cost Summary (Answer Capsule)
- CPT Billing Code: 29881
- Insurance Median: $2,883
- Cash Discount Price: $11,623
- vs. Medicare Baseline: 0.86x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Mercy Hospital Springfield is $2,883. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $11,623. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.86x the Medicare baseline. Located in 2115 S. Fremont Ave, Springfield, MO.
Cash / Self-Pay
$11,623
Average discount available for prompt cash payment at this facility.
Insurance Median
$2,883
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: $11,623 (348%)
Insurance Median: $2,883 (86%)
Cash: $11,623 (348% of Medicare)
Ins. Median: $2,883 (86% 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
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Commercial Insurance Negotiated Rates
Negotiated contract ranges established by major commercial carriers at this facility.
| Carrier / Plan Group | Contract Rate Range | vs. Medicare Reference |
|---|---|---|
| Medicaid / KanCare | $297 - $4,149 | 9% |
| Blue Cross Blue Shield | $490 - $13,980 | 15% |
| Evolutions Health Care Contracted [320124] | $1,379 | 41% |
| Federal Medical Center Contracted [320127] | $1,493 | 45% |
| Benefit Management Contracted [320052] | $1,545 | 46% |
| Health Systems Inc Contracted [320174] | $1,545 | 46% |
| Insurance System Inc Contracted [320465] | $1,545 | 46% |
| Point C Contracted [320238] | $1,910 - $2,841 | 57% |
| Aither Health Contracted [320449] | $2,054 | 61% |
| Auxiant Contracted [320462] | $2,054 | 61% |
| Ebms Contracted [320493] | $2,054 | 61% |
| Edison Health Solutions Contracted [320502] | $2,054 | 61% |
| Healthlink Contracted [320179] | $2,054 | 61% |
| Imagine 360 Contracted [320494] | $2,054 | 61% |
| Mercy Benefit Admin Contracted [320251] | $2,054 - $3,034 | 61% |
| Reflect Health Contracted [320492] | $2,054 | 61% |
| Yuzu Health Contracted [320521] | $2,054 | 61% |
| Point C [20238] | $2,745 | 82% |
| Aetna | $2,883 - $2,889 | 86% |
| Centurion Of Missouri [20459] | $2,883 | 86% |
| Champva [20065] | $2,883 | 86% |
| Cherokee Nation Health Serv Contracted [320066] | $2,883 | 86% |
| Cigna | $2,883 | 86% |
| Cross Timbers Hospice [20098] | $2,883 | 86% |
| Dept Of Veteran Affairs Contracted [320106] | $2,883 | 86% |
| Elara Caring Aspire Hospice [20433] | $2,883 | 86% |
| Globalhealth Contracted [320145] | $2,883 | 86% |
| Halo Hcr Inc Hospice Contracted [320432] | $2,883 | 86% |
| Halo Hcr Inc Hospice [20432] | $2,883 | 86% |
| Humana | $2,883 - $4,138 | 86% |
| Indian Health Service Contracted [320198] | $2,883 | 86% |
| Indian Health Service [20198] | $2,883 | 86% |
| Kindful Hospice Contracted [320434] | $2,883 | 86% |
| Kindful Hospice [20434] | $2,883 | 86% |
| Medicare (plans) | $2,883 - $3,030 | 86% |
| Mercy Hospice Okc [20252] | $2,883 | 86% |
| Mercy Mgd Behavioral Health Contracted [320259] | $2,883 | 86% |
| Mercy Rehab Hospital Contracted [320260] | $2,883 | 86% |
| Pace Of The Ozarks Contracted [320518] | $2,883 | 86% |
| Qual Choice Contracted [320325] | $2,883 | 86% |
| Tricare | $2,883 | 86% |
| UnitedHealthcare | $2,883 - $4,702 | 86% |
| 90 Degree Benefits Contracted [320436] | $2,897 | 87% |
| Show-Me Health Administrators Contracted [320483] | $2,897 - $3,034 | 87% |
| Provider Partners Health Plans Contracted [320450] | $3,177 | 95% |
| Healthscope Contracted [320182] | $3,673 | 110% |
| United Medical Resources Contracted [320454] | $4,052 | 121% |
| Centivo Contracted [320505] | $4,849 | 145% |
| Providrs Care Network Contracted [320484] | $6,002 | 180% |