CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Merit Health River Region

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $3,215
  • Cash Discount Price: $7,770
  • vs. Medicare Baseline: 0.96x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Merit Health River Region is $3,215. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $7,770. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.96x the Medicare baseline. Located in 2100 Hwy 61 N, Vicksburg, MS.
Cash / Self-Pay
$7,770

Average discount available for prompt cash payment at this facility.

Insurance Median
$3,215

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: $7,770 (232%)
Insurance Median: $3,215 (96%)
Cash: $7,770 (232% of Medicare)
Ins. Median: $3,215 (96% 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 $488 15%
Advanced Health Systems $1,688 50%
Blue Cross Blue Shield $1,756 53%
Magnolia $2,473 74%
Magnolia Mcd Chip $2,473 74%
Medicaid / KanCare $2,473 - $6,583 74%
UnitedHealthcare $2,473 - $8,003 74%
Caresource Truecare $2,522 75%
Molina Chip $2,670 80%
First Choice $3,062 - $32,376 92%
Medicare (plans) $3,062 92%
Node Magnolia Mcr Adv $3,062 92%
Node Vantage Mcr Adv $3,062 92%
Tricare $3,071 92%
Node Hospice Non Par Agree $3,112 93%
Node Va $3,112 93%
Node Peoples Health Mcr Adv $3,123 93%
Node Devoted Health Mcr Adv $3,124 93%
Node First Choice American Health Of Ms Mcr Adv $3,124 93%
Node Molina Mcr Adv $3,124 93%
Aetna $3,154 - $17,267 94%
Node First Choice Wellcare Mcr Adv $3,174 95%
Node Windsor Mcr Adv $3,215 96%
Department Of Veterans Affairs $3,233 97%
Node Healthy Mississippi Mcr Adv $3,423 102%
Ms Dept Of Rehabilitation Services $3,683 110%
Node Us Dept Of Labor $3,890 116%
Molina Exchange $4,703 141%
Node Seven Corners $5,291 158%
Magnolia Exchange $5,446 163%
Ms Work Comp $5,773 173%
Humana $6,583 197%
Vantage Commercial $7,002 209%
Self Pay $7,770 232%
Medpartners $8,634 258%
Trimed Billing Solutions $12,951 387%
Cigna $17,829 - $30,218 533%
First Choice Mpcn Standard $23,743 710%
Phcs $25,901 775%
Ms Health Partners $32,376 969%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 2100 Hwy 61 N, Vicksburg, MS 39183
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals