CMS Price Transparency Data

Knee arthroscopy with meniscus repair

Facility: Merit Health Wesley

Billing Code: 29881 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 29881
  • Insurance Median: $2,945
  • Cash Discount Price: $15,479
  • vs. Medicare Baseline: 0.88x Medicare
The contracted insurance negotiated median rate for a Knee arthroscopy with meniscus repair at Merit Health Wesley is $2,945. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $15,479. Compared to the federal Medicare reimbursement reference rate of $3,342.87, this hospital’s rate is 0.88x the Medicare baseline. Located in 5001 W Hardy St, Hattiesburg, MS.
Cash / Self-Pay
$15,479

Average discount available for prompt cash payment at this facility.

Insurance Median
$2,945

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: $15,479 (463%)
Insurance Median: $2,945 (88%)
Cash: $15,479 (463% of Medicare)
Ins. Median: $2,945 (88% 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 $441 - $11,240 13%
Veterans Eval Services $488 15%
Advanced Health Systems $1,688 50%
Blue Cross Blue Shield $1,756 53%
Magnolia $2,473 - $2,859 74%
UnitedHealthcare $2,473 - $8,255 74%
Magnolia Mcd Ms Chip $2,497 75%
Caresource Truecare $2,522 75%
Molina Chip $2,670 80%
First Choice $2,859 - $58,966 86%
Humana $2,859 86%
Medicare (plans) $2,859 86%
Node Vantage Mcr Adv $2,859 86%
Node Hospice Non Par Agree $2,906 87%
Node Va $2,906 87%
Molina $2,917 87%
Node Devoted Health Mcr Adv $2,917 87%
Node First Choice American Health Mcr Adv $2,917 87%
Aetna $2,945 - $30,736 88%
Node First Choice Wellcare Mcr Adv $2,964 89%
Node Healthy Mississippi Mcr Adv $3,196 96%
Node Us Dept Of Labor $3,632 109%
Molina Exchange $4,392 131%
First Choice Molina $4,940 148%
Magnolia Exchange $5,085 152%
Ms Work Comp $5,773 173%
First Choice Lgp $6,335 190%
Vantage Health $6,538 196%
Tricare $8,053 241%
Node Champva $8,477 254%
Ms Dept Of Rehabilitation Services $8,796 263%
Cigna $9,504 284%
Chs Group Health Plan $14,742 441%
Self Pay $15,479 463%
Trimed Billing Solutions $22,112 661%
Benefit Management Services $47,910 1433%
Coventry First Health $55,281 1654%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 5001 W Hardy St, Hattiesburg, MS 39402
  • CMS Rating: ★★☆☆☆
  • Ownership Type: Voluntary non-profit - Private
  • Hospital Type: Acute Care Hospitals