CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Ste Genevieve County Memorial Hospital

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)

CPT Billing Code: 29881
Insurance Median: $1,267
Cash Discount Price: $1,653
vs. Medicare Baseline: 0.38x Medicare

The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Ste Genevieve County Memorial Hospital is $1,267. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $1,653. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.38x the Medicare baseline. Located in Hwys 61 & 32, Sainte Genevieve, MO.

Cash / Self-Pay

$1,653

Average discount available for prompt cash payment at this facility.

Insurance Median

$1,267

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: $1,653 (49%)

Insurance Median: $1,267 (38%)

Cash: $1,653 (49% of Medicare)

Ins. Median: $1,267 (38% 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
UnitedHealthcare	$452	14%
Blue Cross Blue Shield	$551 - $1,102	16%
Medicare (plans)	$551 - $1,102	16%
Va	$551 - $1,102	16%
Aetna	$562 - $3,394	17%
Allwell	$562 - $1,124	17%
Pphp	$634 - $1,267	19%
Ambetter / Centene	$689 - $1,378	21%
Healthy_Blue	$899 - $1,798	27%
Medicaid / KanCare	$899 - $1,798	27%
Uhc_Community	$899 - $1,798	27%
Homestate	$917 - $1,834	27%
Meritain	$1,697 - $3,394	51%
Multiplan/Phcs	$1,873 - $3,747	56%
Healthlink_Compmanagement	$1,962 - $3,923	59%
Healthlink_Hmo	$1,962 - $3,923	59%
Healthlink_Ppo	$1,962 - $3,923	59%

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 $1,653.
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 Ste Genevieve County Memorial 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.