CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Moberly Regional Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $6,581
  • Cash Discount Price: $19,399
  • vs. Medicare Baseline: 1.97x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Moberly Regional Medical Center is $6,581. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $19,399. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.97x the Medicare baseline. Located in 1515 Union Ave, Moberly, MO.
Cash / Self-Pay
$19,399

Average discount available for prompt cash payment at this facility.

Insurance Median
$6,581

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: $19,399 (580%)
Insurance Median: $6,581 (197%)
Cash: $19,399 (580% of Medicare)
Ins. Median: $6,581 (197% 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%
Medicaid / KanCare $2,766 - $4,564 83%
Healthlink $3,060 - $50,294 92%
Medicare (plans) $3,454 103%
Node Va $3,510 105%
UnitedHealthcare $3,510 - $54,964 105%
Blue Cross Blue Shield $3,523 - $25,578 105%
Node Devoted Health Mcr Adv $3,626 108%
Centurion Correctional $4,387 131%
Corizon $4,387 131%
Us Department Of Labor $4,387 131%
Home State Health Plan $4,564 - $6,493 137%
Pathway/Pathway X $4,830 144%
Healthscope Benefits $5,897 176%
Naphcare $6,669 199%
Blue Preferred $6,684 200%
Tricare $6,844 205%
United Behavioral Health Mcd $14,370 430%
Blue Access $15,876 475%
Self Pay $19,399 580%
Cigna $22,417 671%
Access Health Services, Llc $46,701 1397%
Aetna $47,276 - $57,479 1414%
Blue Traditional $51,364 1537%
Multiplan Primary $53,886 1612%
Coventry Wc $57,479 1719%
Multiplan $58,197 1741%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1515 Union Ave, Moberly, MO 65270
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals