CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Poplar Bluff Regional Medical Center

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $4,702
  • Cash Discount Price: $27,128
  • vs. Medicare Baseline: 1.41x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Poplar Bluff Regional Medical Center is $4,702. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $27,128. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.41x the Medicare baseline. Located in 3100 Oak Grove Road, Poplar Bluff, MO.
Cash / Self-Pay
$27,128

Average discount available for prompt cash payment at this facility.

Insurance Median
$4,702

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: $27,128 (812%)
Insurance Median: $4,702 (141%)
Cash: $27,128 (812% of Medicare)
Ins. Median: $4,702 (141% 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
Medicaid / KanCare $297 - $25,836 9%
Veterans Eval Services $500 15%
Blue Cross Blue Shield $3,027 - $33,457 91%
Medicare (plans) $3,454 103%
Node United Behavioral Health Mcr Adv $3,454 103%
Humana $3,488 104%
Node Hospice Non Par Agree $3,510 105%
Node Va $3,510 105%
UnitedHealthcare $3,510 - $69,498 105%
Node Ahs Mcr Adv $3,592 107%
Node Devoted Health Mcr Adv $3,626 108%
Node Pphp Mcr Adv $3,972 119%
Centurion Correctional $4,387 131%
Us Department Of Labor $4,387 131%
Node Champva $6,614 198%
Tricare $6,614 198%
Naphcare $6,669 199%
Home State Exchange $8,775 262%
W W Wood $8,775 262%
Blue Access $11,727 351%
Self Pay $31,003 927%
Cigna $70,015 - $103,343 2094%
Evolutions Healthcare $70,402 2106%
Tyson Foods $71,048 2125%
Access Health Services, Llc $73,632 2203%
First Health $77,507 2319%
Healthlink $80,737 2415%
Parker Hannifin $90,425 2705%
Blue Traditional $95,541 2858%
Coventry Wc $103,343 3091%
Municipal Health $103,343 3091%
Multiplan $112,385 3362%
Phcs $112,385 3362%
Compresults Wc $116,261 3478%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 3100 Oak Grove Road, Poplar Bluff, MO 63901
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals