CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Mercy Hospital Southeast

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,106
  • Cash Discount Price: $23,119
  • vs. Medicare Baseline: 0.93x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Mercy Hospital Southeast is $3,106. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $23,119. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.93x the Medicare baseline. Located in 1701 Lacey St, Cape Girardeau, MO.
Cash / Self-Pay
$23,119

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,106

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: $23,119 (692%)
Insurance Median: $3,106 (93%)
Cash: $23,119 (692% of Medicare)
Ins. Median: $3,106 (93% 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 $490 - $17,992 15%
Indian Health Service Contracted [320198] $490 15%
Imagine 360 Contracted [320494] $2,050 61%
Medicaid / KanCare $2,766 - $4,979 83%
Aetna $3,047 91%
Cross Timbers Hospice [20098] $3,047 91%
Dept Of Veteran Affairs Contracted [320106] $3,047 91%
Elara Caring Aspire Hospice Contracted [320433] $3,047 91%
Elara Caring Aspire Hospice [20433] $3,047 91%
Halo Hcr Inc Hospice Contracted [320432] $3,047 91%
Halo Hcr Inc Hospice [20432] $3,047 91%
Humana $3,047 91%
Kindful Hospice Contracted [320434] $3,047 91%
Kindful Hospice [20434] $3,047 91%
Medicare (plans) $3,047 - $3,202 91%
Mercy Hospice Okc [20252] $3,047 91%
Pace Of The Ozarks Contracted [320518] $3,047 91%
Tricare $3,047 91%
Ambetter / Centene $3,106 93%
American Health Advantage Of Mo Mcr Hmo Contracted [320264] $3,106 93%
Home State Health Plan Contracted [320187] $3,106 93%
Hope Trust Contracted [320488] $3,106 93%
UnitedHealthcare $3,106 - $20,923 93%
Provider Partners Health Plans Contracted [320450] $3,504 105%
Consociate Consolidated Health Contracted [320490] $4,266 - $6,855 128%
Auxiant Contracted [320462] $5,125 - $6,094 153%
Centivo Contracted [320505] $5,125 153%
Ebms Contracted [320493] $5,125 153%
Healthlink Contracted [320179] $5,125 - $6,855 153%
Mercy Benefit Admin Contracted [320251] $5,125 153%
Reflect Health Contracted [320492] $5,311 159%
Preferred Health Plan Contracted [320522] $5,435 163%
Cigna $14,290 427%
United Medical Resources Contracted [320454] $20,923 626%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 1701 Lacey St, Cape Girardeau, MO 63701
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals