CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Harrison County Community Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $4,060
Cash Discount Price: $4,550
vs. Medicare Baseline: 1.21x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Harrison County Community Hospital is $4,060. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $4,550. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 1.21x the Medicare baseline. Located in 2600 Miller Street, Bethany, MO.

Cash / Self-Pay

$4,550

Average discount available for prompt cash payment at this facility.

Insurance Median

$4,060

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: $4,550 (136%)

Insurance Median: $4,060 (121%)

Cash: $4,550 (136% of Medicare)

Ins. Median: $4,060 (121% 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.

Billing Status

Remaining Deductible ($)

Your Coinsurance 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
Multiplan	$474 - $5,600	14%
Cigna	$500 - $5,600	15%
Provider Partners Health Plans	$500 - $4,385	15%
Care Improvement Plus	$515 - $4,060	15%
Blue Cross Blue Shield	$535 - $6,160	16%
Allwell	$575 - $4,060	17%
Ambetter / Centene	$575 - $4,060	17%
Blue Advantage Plus	$575 - $4,060	17%
Humana	$575 - $6,300	17%
UnitedHealthcare	$575 - $5,950	17%
Aetna	$699 - $6,160	21%
6 Degrees Health	$724 - $5,600	22%
Wellmark	$824 - $5,600	25%
Healthy Blue	$3,518 - $3,602	105%
Home State	$3,518 - $3,602	105%

Self-Pay Upfront Cash Action Plan

Request a "Self-Pay classification" with the billing desk before receiving care.
Ask for a written "Prompt-Pay Discount" agreement quoting the price of $4,550.
Request and sign a "Waiver of Insurance Submission" to prevent automatic billing.
Verify CPT Code matches exactly: 29881.

Insurance In-Network Protection Plan

Contact your insurance company to confirm Harrison County Community Hospital is fully in-network.
Ask your insurer if "Prior Authorization" is required for CPT code 29881.
Confirm the specific physician or imaging center is also in-network (not just the hospital building).
Audit your Explanation of Benefits (EOB) against the final itemized hospital invoice.